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SELF ASESSM

NO

I. PELAYANAN
A. Pelayanan Medik Umum
1:00
2:00
3:00
B. Pelayanan Gawat Darurat
1:00
C. Pelayanan Medik Spesialis Dasar
1:00
2:00
3:00
4:00
D. Pelayanan Spesialis Penunjang Medik
1:00
2:00
3:00
E. Pelayanan Medik Spesialis Gigi dan Mulut
1:00
2:00
3:00
4:00
5:00
6:00
7:00
F. Pelayanan Kefarmasian
1:00
2:00
G. Pelayanan Keperawatan dan Kebidanan
1:00
2:00
H. Pelayanan Penunjang Klinik
1:00
2:00
3:00
4:00
5:00
I. Pelayanan Penunjang Non Klinik
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
J. Pelayanan Rawat Inap
1:00
2:00

3:00
II. Sumber Daya Manusia
A. Pelayanan Medik Dasar
1:00
2:00
B. Pelayanan Medik Spesialis Dasar
1:00
2:00
3:00
4:00
C. Pelayanan Medik Spesialis Penunjang
1:00
2:00
3:00
D. Pelayanan Medik Spesialis Gigi dan Mulut
1:00
2:00
3:00
4:00
5:00
6:00
7:00
E. Pelayanan Kefarmasian
1:00
2:00
3:00
4:00
F. Tenaga Kesehatan dan Petugas Lainnya

1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
III. Peralatan
A. Pelayanan Gawat Darurat
Ruang Triase
1:00
2:00
3:00
4:00
5:00

6:00

7:00
8:00
9:00
Resusitasi
1:00

2:00

3:00

4:00

5:00
6:00
7:00
8:00

9:00

10:00
11:00
12:00
13:00
14:00
15:00
16:00
Tindakan
1:00
2:00
3:00
4:00
5:00
6:00
Isolasi

1:00

2:00
3:00

4:00

5:00
6:00
7:00
8:00
9:00
Observasi
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
B. Pelayanan Penyakit Dalam
Klinik (Rawat Jalan)
1:00
2:00
3:00
4:00
5:00
6:00
7:00
Kamar Tindakan
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
Rawat Inap
1
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00

15:00

16:00
17:00
18:00
19:00
20:00
21:00
22:00
C. Pelayanan Bedah
Klinik (Rawat Jalan)
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00

13:00

Kamar Tindakan
1:00
2:00

3:00

4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
Ruang persiapan (sebelum Operasi)
1:00
2:00
3:00
4:00
5:00

6:00

7:00
Kamar Bedah
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
Recovery Room
1:00
2:00
3:00
4:00
5:00
6:00
Rawat Bedah Umum
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
D. Pelayanan Kesehatan Anak
Klinik (Rawat Jalan)
1:00
2:00
3:00
4:00
5:00

6:00

7:00
8:00
9:00

10:00

11:00
12:00
13:00
14:00
Perawatan Anak
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00

14:00

15:00

16:00
17:00
Perinatologi
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
Ruang Bayi
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
E. PELAYANAN OBSTETRI DAN GINEKOLOGI
Klinik (Rawat Jalan)
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00:00
25:00:00
26:00:00
27:00:00
28:00:00
29:00:00
30:00:00
31:00:00
32:00:00
Rawat Inap
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00:00
25:00:00
26:00:00
27:00:00
28:00:00
29:00:00
30:00:00
31:00:00
32:00:00
33:00:00
34:00:00
35:00:00
36:00:00
37:00:00
38:00:00
39:00:00
40:00:00
41:00:00
42:00:00
43:00:00
44:00:00
45:00:00
46:00:00
47:00:00
48:00:00
49:00:00
50:00:00
51:00:00
52:00:00
53:00:00
54:00:00
55:00:00
56:00:00
57:00:00
58:00:00
59:00:00
60:00:00
61:00:00
62:00:00
63:00:00
64:00:00
65:00:00
66:00:00
67:00:00
68:00:00
69:00:00
70:00:00
71:00:00
72:00:00
73:00:00
74:00:00
75:00:00
76:00:00
77:00:00
78:00:00
Kamar Tindakan Persalinan (VK)
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00:00
25:00:00
26:00:00
27:00:00
28:00:00
29:00:00
30:00:00
31:00:00
32:00:00
33:00:00
34:00:00
35:00:00
36:00:00
37:00:00
38:00:00
39:00:00
40:00:00
41:00:00
42:00:00
43:00:00
44:00:00
45:00:00
46:00:00
47:00:00
48:00:00
49:00:00
50:00:00
51:00:00
52:00:00
53:00:00
54:00:00
55:00:00
56:00:00
57:00:00
58:00:00
59:00:00
60:00:00
61:00:00
Kamar Operasi Kebidanan
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00:00
25:00:00
26:00:00
27:00:00
28:00:00
29:00:00
30:00:00
31:00:00
32:00:00
33:00:00
34:00:00
35:00:00
36:00:00
37:00:00
38:00:00
39:00:00
40:00:00
41:00:00
42:00:00
43:00:00
44:00:00
45:00:00
46:00:00
47:00:00
48:00:00
49:00:00
50:00:00
51:00:00
52:00:00
53:00:00
54:00:00
56:00:00
57:00:00
58:00:00
59:00:00
60:00:00
61:00:00
62:00:00
63:00:00
64:00:00
65:00:00
66:00:00
67:00:00
68:00:00
69:00:00
70:00:00
IGD Kebidanan
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
F. PELAYANAN ANESTESIOLOGI DAN TERAPI INTENSIF
ALAT UNTUK PELAYANAN ANESTESI
Alat Utama Tindakan Anestesi
Circuit System Mesin Anestesi
1:00
2:00
Open System

1:00

Perlengkapan Life Support Tindakan Anestesi


Airway

1:00

2:00
3:00
4:00

5:00

6:00
7:00

8:00
9:00
Breathing

1:00

2:00
3:00
4:00
5:00
Circulation
1:00
2:00
3:00
4:00
5:00
6:00
7:00
Monitor Tindakan Anestesi
Bedside Monitor
1:00
2:00
Monitor Saturasi Oksigen
1:00
Monitor End Tidal CO2
1:00
Monitor Tekanan Darah
1:00
Monitor Fungsi Paru (pemeriksaan suara nafas)
1:00
Alat Penunjang Tindakan Anestesi
1:00
2:00
3:00
4:00
5:00
Alat Tambahan Tindakan Anestesi
1:00
Alat Resusitasi dan Emergency
Alat Utama
1:00
2:00
Perlengkapan Life Support Resusitasi dan Emergency
Airway

1:00

2:00
3:00
4:00

5:00

6:00

7:00

8:00
9:00
10:00
Breathing

1:00

2:00
3:00
4:00
5:00
6:00
Circulation
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
Alat Monitor Resusitasi dan Emergency
1:00
2:00
3:00
4:00
5:00
6:00
Alat Canggih Resusitasi dan Emergency
1:00
2:00
3:00
4:00
ALAT PELAYANAN TERAPI INTENSIF
Alat Utama
1:00
2:00
3:00
Perlengkapan Life Support Pelayanan Terapi Intensif
Airway

1:00

2:00
3:00
4:00
5:00
6:00

7:00

8:00
9:00
Breathing

1:00

2:00
3:00
4:00
5:00
6:00
Circulation/ ICU
1:00
2:00
3:00
4:00
5:00
6:00
7:00
Alat Monitor Pelayanan Terapi Intensif
1:00
2:00
3:00
4:00
5:00
6:00
7:00
Alat Penunjang Pelayanan Terapi Intensif
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
Alat Canggih Pelayanan Terapi Intensif
1:00
2:00
3:00
4:00
G. PELAYANAN MIKROBIOLOGI
1:00

2:00

3:00
4:00

5:00

6:00

7:00

8:00

9:00

10:00

11:00
12:00

13:00

14:00

H. PELAYANAN PATOLOGI ANOTOMI


Ruang Tup (Ruang Pemotongan Jaringan dan Pemeriksaan Makroskopik)
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
Ruang Pemrosesan Jaringan (Histologi)
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
Ruang Klinik Sitologi
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
Ruang Pemrosesan Cairan (Sitologi)
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
Ruang Immunohistokimia
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
Ruang Imunofluoresensi
1:00
Ruang Diagnosa
7:00
8:00
9:00
10:00
11:00
12:00
I. PELAYANAN PATOLOGI KLINIK
Peralatan Umum
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00:00
Pelayanan
Hematologi

1:00

2:00
3:00
4:00
Kimia klinik
1:00

2:00

3:00
4:00
J. PELAYANAN RADIOLOGI
Diagnostik
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
K. PELAYANAN REHABILITASI MEDIK
Pemeriksaan/Penilaian
1:00

2:00

Diagnostik
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
Terapi Psikologi
1:00
Fisioterapi Pasif
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00:00
25:00:00
26:00:00
Senam (Gymnasium)
1:00
GIP
1:00
Bengkel Halus/Kerja Kayu
1:00
L. PEMULASARAN JENAZAH
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
M. INSTALASI GIZI
Asuhan Gizi Rawat Inap
Kegiatan asuhan gizi
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
Kegiatan pelayanan makanan
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
Asuhan Gizi Rawat Jalan (Di Ruang Konseling Gizi)
1:00
2:00
3:00
4:00
5:00
Penyelenggaraan Makanan (Di Ruang Penerimaan)
1:00
2:00
3:00
4:00
5:00
6:00
Di Ruang penyimpanan bahan makanan kering
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
Di Ruang penyimpanan bahan makanan segar
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
Di Ruangan persiapan bahan makanan
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
Di Ruang pengolahan makanan
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00:00
25:00:00
26:00:00
27:00:00
28:00:00
29:00:00
Di Ruang distribusi
1:00
2:00
3:00
Di Ruang pencuci dan penyimpanan alat
1:00
2:00
3:00
4:00
5:00
Di Ruang Formula
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
IV.SARANA DAN PRASARANA
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00:00
25:00:00
26:00:00
27:00:00
28:00:00
29:00:00
30:00:00
31:00:00
32:00:00
33:00:00
34:00:00
35:00:00
36:00:00
37:00:00
38:00:00
39:00:00
40:00:00
41:00:00
42:00:00
43:00:00
V. ADMINISTRASI DAN MANAJEMEN
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
SELF ASESSMEN RS BELL

PERSYARATAN

I. PELAYANAN
elayanan Medik Umum
Pelayanan medik dasar
Pelayanan medik gigi mulut
Pelayanan KIA/KB
elayanan Gawat Darurat
24 jam & 7 hari seminggu
elayanan Medik Spesialis Dasar
Penyakit dalam
Kesehatan anak
Bedah
Obstetri & ginekologi
elayanan Spesialis Penunjang Medik
Anestesiologi
Radiologi
Patologi Klinik
elayanan Medik Spesialis Gigi dan Mulut
Bedah Mulut
Konservasi / endodonsi
Orthodonti
Periodonti
Prosthodonti
Pedodonsi
Penyakit Mulut
elayanan Kefarmasian
Pengelolaan sedian farmasi, alat kesehatan dan bahan habis pakai
Farmasi klinik
elayanan Keperawatan dan Kebidanan
Asuhan keperawatan generalis dan spesialis
Asuhan kebidanan
elayanan Penunjang Klinik
Pelayanan bank darah
Perawatan intensif
Gizi
Sterilisasi instrumen
Rekam medik
elayanan Penunjang Non Klinik
Laundry/Linen
Jasa boga/dapur
Teknik dan pemeliharaan fasilitas
Pengelolaan limbah
Gudang
Ambulans
Sistem informasi dan komunikasi
Pemulasaran jenazah
Sistem penanggulangan kebakaran
Pengelolaan gas medik
Pengelolaan air bersih
elayanan Rawat Inap
Jumlah TT perawatan kelas III (RS Pemerintah)
Jumlah TT perawatan kelas III (RS Swasta)

Jumlah TT perawatan intensif (RS Pemerintah & Swasta)


umber Daya Manusia
elayanan Medik Dasar
Dokter Umum
Dokter Gigi
elayanan Medik Spesialis Dasar
Penyakit dalam
Kesehatan anak
Bedah
Obstetri & ginekologi
elayanan Medik Spesialis Penunjang
Anestesiologi
Radiologi
Patologi Klinik
elayanan Medik Spesialis Gigi dan Mulut
Bedah Mulut
Konservasi / endodonsi
Orthodonti
Periodonti
Prosthodonti
Pedodonsi
Penyakit Mulut
elayanan Kefarmasian
kepala instalasi farmasi RS
Apoteker bertugas di rawat jalan
Apoteker bertugas di rawat inap
Apoteker sebagai koordinator penerimaan dan distribusi farmasi
enaga Kesehatan dan Petugas Lainnya

Keperawatan (Perawat dan Bidan)


Gizi
Keterapian Fisik
Radiografer
Keteknisan Medis
Rekam Medik
Petugas IPSRS
Petugas Pengelola Limbah
Petugas Kamar Jenazah
Peralatan
elayanan Gawat Darurat
ng Triase
Kursi Roda/Wheel Chair
Stretcher/Brankar
Pocket Pulse Oximetri
Stethoscope/Stetoskop
Tensimeter Digital/ Sphygmomanometer Digital

Tensimeter Anaeroid/ Sphygmomanometer Aneroid

Termometer Digital
Timbangan Bayi/Infant Weighting Scale/Baby Weighting Scale
Timbangan Dewasa
usitasi
Defibrilator
Emergency Trolley/
Resucitation Crash Cart
Film Viewer

Lampu Periksa/Examination Lamp/Hanging Lamp

Laryngoscope
Nebulizer
Pulse Oximetry/Portable Pulse Oximetri
Stethoscope/Stetoskop
Suction Pump Portable/Aspirator/
Vacuum
Infusion Pump
Syringe Pump
Bed Patient Electric/Tempat Tidur Pasien Elektrik
Bed Patient Manual/Tempat Tidur Pasien Manual
Sphygmomanometer Digital/Tensimeter Digital
Sphygmomanometer Aneroid/Tensimeter Anaeroid
Termometer Digital
akan
Gynecological Bed/Obstetric Table/Tempat Tidur Ginekologi
Head Lamp/Lampu Kepala
Lampu Periksa/Examination Lamp/Hanging Lamp
Minor Surgery Set
Bed Patient Electric/Tempat Tidur Pasien
Bed Patient Manual/Tempat Tidur Pasien Manual
asi
Bed Patient Electric/Tempat
Tidur Pasien Elektrik
Bed Patient Manual/Tempat Tidur Pasien Manual
Bed Side Monitor/Patient Monitor/Pasien Monitor 4 Parameter
Emergency Trolley/
Resucitation Crash Cart
Oxygen Concentrator Portable
Stethoscope/Stetoskop
Sphygmomanometer Digital/Tensimeter Digital
Sphygmomanometer Aneroid/Tensimeter Anaeroid
Termometer Digital
ervasi
Stretcher/Brankar
Bed Side Monitor/Patient Monitor/Pasien Monitor 4 Parameter
Defibrilator
ECG/EKG/Electrocardiograph 6 Channels
Emergency Trolley/ Resucitation Crash Cart
Infusion Pump
Pneumatic Splint Set
Resusitator Kit/Resucitation Bay
Stethoscope/Stetoskop
Suction Pump Portable/Aspirator/Vacuum
Syringe Pump
Sphygmomanometer Digital/Tensimeter Digital
Sphygmomanometer Aneroid/Tensimeter Anaeroid
elayanan Penyakit Dalam
k (Rawat Jalan)
Film Viewer
Examination Table/Meja Periksa/Tempat Tidur Periksa
Medical Flash Light/Pen Light
Stethoscope/Stetoskop
Sphygmomanometer Aneroid/ Tensimeter Anaeroid
Sphygmomanometer Digital/ Tensimeter Digital
Termometer digital
mar Tindakan
Meja Periksa/Tempat tidur periksa/Examination Table
Tensimeter Digital/Sphygmomanometer Digital
Tensimeter, Anaeroid/ Sphygmomanometer, Aneroid
Film Viewer
Medical Flash light/Pen Light
Stethoscope/Stetoskop
Termometer Digital
Emergency trolley/Resucitation Crash Cart
Defibrilator
Minor Surgery Set
Lever Biopsi Set (Jarum Biopsi khusus)
ECG/EKG/Electrocardiograph 6 Channels
Syringe Pump
Trokar
Oximeter/Pulse Oximetry/Oksigen Saturasi
wat Inap
Bed Side Monitor/ Bed-Patient Monitor/Patient Monitor
Defibrilator
ECG/EKG/Electrocardiograph 6 Channels
Emergency Trolley/Resucitation Crash Cart
ENT Examination set
Film Viewer
Infusion pump
Lampu Periksa/Examination Lamp/Hanging lamp
Matras Dekubitus
Minor Surgery set
Nebulyzer
Pen Light / Medical Flash light
Pulse Oximeter/Pulse Oximetry/Oksigen Saturasi
Stethoscope / Stetoskop
Suction Pump Portable/Aspirator/
Vacuum
Syringe Pump
Bed Patient Electric/Tempat Tidur Pasien Electric
Bed Patient Manual/Tempat Tidur Pasien Manual
Sphygmomanometer Aneroid/ Tensimeter Anaeroid
Sphygmomanometer Digital/ Tensimeter Digital
Termometer Digital
Timbangan Pasien
elayanan Bedah
ik (Rawat Jalan)
Stethoscope/Stetoskop
Meja Periksa/ Tempat tidur periksa/Examination Table
Pen Light/Medical Flash light
Refleks Hammer
TCD/Transcranial Doppler
Sphygmomanometer Aneroid/ Tensimeter Anaeroid
Sphygmomanometer Digital/ Tensimeter Digital
Head Lamp/Lampu Kepala
Lampu Periksa/Examination Lamp /Hanging Lamp
Termometer Digital
Film Viewer 2 slides
Alat pembuka gips (manual dan elektric)
Suction Pump Portable/Aspirator/
Vacuum
mar Tindakan
Stethoscope / Stetoskop
Sphygmomanometer Aneroid/ Tensimeter Anaeroid

Sphygmomanometer Digital/ Tensimeter Digital

Meja Periksa/ Tempat tidur periksa/Examination Table


Lampu Periksa/Examination Lamp/Hanging Lamp
Minor Surgery Set
Circumsisi set
Electrocauter
Emergency Set
Hecting set
Lokal Anestesi Set
Suction Pump
Sterilisator kering
ng persiapan (sebelum Operasi)
Stethoscope/Stetoskop
Sphygmomanometer Aneroid/ Tensimeter Anaeroid
Sphygmomanometer Digital/ Tensimeter Digital
Bed Side Monitor/Bed-Patient Monitor/Patient Monitor
Film Viewer 2 slides
Suction Pump Portable/Aspirator/
Vacuum
Oxygen Saturatie
mar Bedah
Operating Table
Mayo Table
Operating Lamp Ceiling Type
Lampu Periksa/Examination Lamp/Hanging Lamp
ETT, LMA, Nasotracheal, Dewasa dan Pediatric
Laringoscope Set (Dewasa Dan Pediatric)
Fiber Optic
Mesin Anesthesi
Defibrilator
Ventilator Anesthesi
Autoklaf
Mastektomi set
Infusion pump
Suction pump
Patient Monitor
Patient Stracher
Syringe Pump
overy Room
Bed Side Monitor
Patient Stracher
Defibrilator
Emergency trolley
Infusion pump
Suction pump
at Bedah Umum
Hospital Bed
Stethoscope
Brandchard
Infusion pump
Examination lamp
Sypgmomanometer
Film viewer
Minor Surgery Instrument Set
Set Perawatan Luka
Emergency Set
elayanan Kesehatan Anak
k (Rawat Jalan)
ECG
Infant dan baby pediatric resusitation
Infant dan baby pediatric Stetoscope
Examination lamp
Sypgmomanometer dengan manset untuk bayi dan anak

Infant dan baby weighting scale

Termometer rectal
Termometer axial
Reflex Hammer
cold chain :
Kulkas Vaksin
Termos Portable
Vena section set
Baby Suction pump
Oxygen set dan flow meter
Nebulizer
awatan Anak
Diagnostic Set
ECG/EKG/Electrocardiograph 3 Channels
Emergency Trolley/Resucitation Crash Cart
Film Viewer
Lampu Periksa/Examination Lamp /Hanging Lamp
Nebulizer
Oxygen Concentrator Portable
Stethoskop Pediatric/Stetoskop Anak
Pediatric Hospital Bed/Tempat Tidur Anak
Suction Pump Portable/Aspirator /Vacuum
Syringe Pump
Infusion Pump
Stethoskop Infant/Baby/ Stetoskop Bayi

Sphygmomanometer Aneroid/ Tensimeter Anaeroid Dengan Manset Untuk Bayi Dan Anak

Sphygmomanometer Digital/ Tensimeter Digital Dengan Manset Untuk Bayi Dan Anak

Termometer Digital
Diagnostic Set
natologi
Incubator
Infant Warmer
Baby Suction pump
Infant dan baby weighting scale
Infant stetoscope
Sypgmomanometer dengan manset untuk bayi dan anak
Termometer Rectal
Termometer Axial
Tongue Spatel
Photo Therapy
Baby Resusitasion Set
Infusion Pump
Syringe Pump
Baby Examination table
Examination lamp
Bed Side Monitor
Reflex hammer
Phono Cardiograph
Intubation set
Incubator
Infant Warmer
ng Bayi
Lumbal needle Punction
Incubator
Incubator Transpor
Baby Resusitasion Set
Baby Suction pump
Infant Stetoscope
Sypgmomanometer dengan manset untuk bayi dan anak
Termometer rectal
Termometer axial
Reflex hammer
Tongue Spatel
Tempat tidur bayi
Vena section set
Infant Warmer
ELAYANAN OBSTETRI DAN GINEKOLOGI
k (Rawat Jalan)
Meja Periksa Kebidanan
Meja Periksa Ginekologi
Timbangan Dewasa
Tensimeter
Stetoskop
Doppler
Examination lamp
Gynecologycal Examination set
Pap Smear Kit
IUD kit
Implant kit
USG Transvaginal
USG 2 dimensi
Colposcopy
Forcep Biopsi
Stetoskop Laenec
Sterilisator portable
Cardiotocography
Minor surgery set
Office Histeroscopy
Suction pump
Utility trolley
Lemari obat kaca
bak Instrument kaca
Tromol kasa
ECG
Nierbekhen
Kursi Dorong
Standar Infus
Sonde uterus
Tampon Tang
Bak instrument
at Inap
Tempat Tidur
Termometer
Lampu Periksa
Stetoskop
Suction pump
Infusion set
Infusion pump
Oxygen Set √ Flow meter
Recusitation Set
USG 2 dimensi
Sterilisator Uap
Minor surgery instrument set
Antidecubitus Matras
Gynecologycal Examination set
Emergency set
Film viewer
Nebulyzer
Vena section set
Cardiotocograph
Food Troly
Lemari Obat (Kaca)
Tensimeter
Lemari Steril
Bak Catheter
Meja Suntik Beroda
Operating Lamp
Manometer
Perkakas
Pinset
Timbangan Bayi
Instrument trolley
Meja Periksa
Patient monitor
EKG Elektro Photo
Timbangan Dewasa
Sterilisator
Waskom mandi
Anatomische pinset
Chirurgical pinset
Air Viva
Bak instrument
Buli-buli panas
Flow meter O2
Gilyserine Spuit
Irigator
Korentang
Lemari obat kaca
Nierbekhen
Kursi Dorong
Standar Infus
Vena Sectie Set
Slim Zuiger
Meja obat
Gelas takar
Tabung O2
Baby incubator
Timbangan Dewasa
Arteri klem
Bed Skreen/sherm 3
Kom Kompres
Sputum bak
Standar Waskom
Pisfot dewasa
Laser teraphy
UV Lamp
Branchard
Oksigen meter dinding
Suction pump dinding
Traffic Light
droppler
microscope labophot
Automatic emergency
Box baby
Emergency trolley
Tempat Tidur
Termometer
Lampu Periksa
Stetoskop
mar Tindakan Persalinan (VK)
Delivery instrument set
Curretage instrument set
Minor surgery set
Doppler
Tensimeter
Suction pump
Examination lamp
Timbangan Bayi
Oxygen Set √ Flow meter
Sterilisator
Forceps
Vacum Ekstraktor
Cardiotocograph
Stethoscope
Recusitation set
Suction Curetage
sectio caesarian set
Anesthesi Machine
Infusion pump
Infusion warmer
Auto tranfusion set
Embriotomi set
Timbangan Bayi
Operating Lamp
Utility Troly
Heacting Set
Alat Partus Set
Cardiotocography Unit
Gynecology Examination
Manometer
Alat Pemanas
Stetoscope
Gunting bengkok
Pengait IUD
Spekulum
Tenakulum
Pinset
Korentang
Tromol kasa
Pean bengkok
gagang pisau no. 3
Meja Ginekologi
Lampu ginekolog
Chirurgical pinset
Meja obat
Busi
Himinoplasti
Forceps
Bak instrument
Bak Korentang
Nierbekhen
Sonde uterus
Sim Utarine Currete Blunt
Partus instrument set
Pemecah ketuban
Sendok kuret
Tampon Tang
Metal catheter
Tabung O2
Generator set
Pump suction
mar Operasi Kebidanan
Operating table (gynecologi)
Operating lamp
Anesthesi Machine
Ventilator dgn probe Pengukur
Oxygen Set + Flow meter
Electrosurgical unit
UV lamp for room sterilization
Vacum pump
autoclave
Sectio caesarian set
Laparatomy set
Histerectomy set
Laparoscopy set
Histeroscopy set
Electro couter bipolar
Electro couter monopolar
Embriotomi set
Incubator bayi
Micro Surgery set
Operating Lamp
Standar Infus
Standar Waskom
Utility Troly
Operating table bedah
Electric suction pump
Mayo table stand mobile
Caesarean section set
Ventilator internal
Patient monitor
Meja obat
Perkakas
Ultrasonic cleaner
DC/AC standar
EKG Monitor
Fluid management system
Suction head silicone
Mesin Anestesi
Ligasure USAm
Folley Lab
Hemodinamic monitoring
gagang pisau no. 3
Monitor Sony
printer video Sony
Mini viewer
Set jahit
Ring aplikator set
Kocher
Chirurgical pinset
gunting lurus
Air Viva
Jarum lumbal
Bed side monitor
Lemari obat kaca
Meja Suntik Beroda
Tromol kasa
Spatel lidah
Pean lurus
Spekulum cocor bebek
Hak langen beck
Speculum Shim
Aligator
Mini Laparotomy Set
Laringoscope
Folding Endurance Tester
Fenster Klem
Kromatografi Gas
Oksigen meter
Tubing Slip
Bak bengkok
Kebidanan
Stetoscope
Timbangan Dewasa
Tabung O2
Bak Catheter
Lampu Sorot
Pisfot dewasa
Kursi Dorong
Standar infus
Electric Suction pump
Emergency trolley
meja periksa
Manometer
USG 2 Dimensi
Utility trolley
Gynecology examination
Timbangan bayi
Syringe pump
ELAYANAN ANESTESIOLOGI DAN TERAPI INTENSIF
T UNTUK PELAYANAN ANESTESI
Utama Tindakan Anestesi
uit System Mesin Anestesi
Mesin Anestesi Sederhana
Mesin Anestesi Standar
n System
Jackson Rees
(Dewasa, Anak dan Neonatus)
engkapan Life Support Tindakan Anestesi
ay
Laryngoscope Set:
Dewasa
Anak/Bayi
Laryngoscope Mc Coy
Nasopharyngeal tube
Oropharyngeal tube
Endotracheal Tube (ETT):
Dewasa
Anak/Bayi
Stylet
Magyl forcep:
Dewasa
Anak/Bayi
Mouth spreader
Suction Apparatus
athing
Masker Anes/ BVM (face mask) :
Anak – Dewasa
Bayi
Laryngeal Mask/ LMA
Bag Valve Mask (BVM) bayi, anak, dewasa
Simple Mask (plastik) dewasa,anak
Oksigen Tank Transport Small Size
ulation
Defibrillator
Syringe pump
Infusion Pump
Infusion pressure bag
Infuse warmer
Standart infuse
Timbangan darah
itor Tindakan Anestesi
side Monitor
Monitor sederhana
Monitor standart
itor Saturasi Oksigen
Pulse Oxymeter
itor End Tidal CO2
Capnometer
itor Tekanan Darah
Tensimeter
itor Fungsi Paru (pemeriksaan suara nafas)
Stetoscope
Penunjang Tindakan Anestesi
SAB- Doek sterile Set
Nerve Stimulator
Spirometer manuil
Hechting-Set
Infant Warmer
Tambahan Tindakan Anestesi
Oxygen Concentrator
Resusitasi dan Emergency
Utama
Ventilator Standar
Ventilator Canggih
engkapan Life Support Resusitasi dan Emergency
ay
Laryngoscope Set:
Dewasa
Anak/Bayi
Laryngoscope Mc Coy
Nasopharyngeal tube
Oropharyngeal tube
Endotracheal Tube (ETT):
Dewasa
Anak/Bayi
Stylet
Magyl forcep dewasa dan anak:
Dewasa
Anak
Mouth spreader
Suction Apparatus
Neck collar
athing
Masker Anes/ BVM (face mask) :
Anak – Dewasa
Bayi
Laryngeal Mask/ LMA
Bag Valve Mask (BVM) bayi, anak dan dewasa
Simple Mask (plastik) dewasa dan anak
Jackson Rees
Oksigen Tank Transport Small Size
ulation
Defibrillator
Syringe pump
Infusion Pump
Infusion pressure bag
Infuse warmer
Standart infuse
Timbangan darah
Short spine board
Long spine board
Monitor Resusitasi dan Emergency
Monitor standar
Monitor canggih
Pulse Oxymeter
Capnometer
Tensimeter
Stetoscope
Canggih Resusitasi dan Emergency
Alat Pemeriksa Hemoglobin
Alat Pemeriksa Gula Darah
Alat Pemeriksa Electrolit
Alat Pemeriksa lactate Darah
T PELAYANAN TERAPI INTENSIF
Utama
Ventilator Standar
Ventilator Canggih
Ventilator Bayi
engkapan Life Support Pelayanan Terapi Intensif
ay
Laryngoscope Set:
Dewasa
Anak/Bayi
Laryngoscope Mc Coy
Nasopharyngeal tube
Oropharyngeal tube
Endotracheal Tube (ETT) (Dewasa dan anak/bayi)
Stylet
Magyl forcep:
Dewasa
Anak
Mouth spreader
Suction Apparatus
athing
Masker Anes/ BVM (face mask)
(Anak-Dewasa dan bayi)
Laryngeal Mask/ LMA
Bag Valve Mask (BVM) bayi, anak, dewasa
Simple Mask (plastik) dewasa,anak
Jackson Rees dewasa,anak
Oksigen Tank Transport Small Size
ulation/ ICU
Defibrillator
Syringe pump
Infusion Pump
Infusion pressure bag
Infuse warmer
Standart infuse
Timbangan darah
Monitor Pelayanan Terapi Intensif
Monitor standar
Monitor canggih
Monitor sangat canggih
Pulse Oxymeter
Capnometer
Tensimeter
Stetoscope
Penunjang Pelayanan Terapi Intensif
Hb-meter
Gluco-Stick
Blood Gas Analyzer
Spirometer manuil
Hechting-Set
Doek sterile Set
TOF guard
Infant Warmer
Mesin Bulleau Drain
Canggih Pelayanan Terapi Intensif
Alat Pemeriksa Hemoglobin
Alat Pemeriksa Gula Darah
Alat Pemeriksa Electrolit
Alat Pemeriksa lactate Darah
ELAYANAN MIKROBIOLOGI
Biosafety Cabinet Level 2A
Mikroskop
(Binokuler, pembesaran 1000x)
Sink dan Rak Untuk Pewarnaan
Bunsen
Incubator, suhu sd 45 C
(Suhu 20-450C)
Incubator, suhu sampai 80-90 C
Refrigerator suhu 40C
(Kapasitas yang besar (600 liter))
Freezer -200C
(Kapasitas kapasitas 200 liter)
Sentrifus
(Volume tabung sd 15 ml; kecepatan Sampai dengan 10.000 rpm)
Timbangan Analitik
(Kapasitas menimbang di bawah 1 gram)
Timbangan / Balance untuk Media
(Kapasitas sd 1 kilogram)
Water Purifier
Autoklaf
(Volume 60 liter)
Alat-alat Gelas
(Tabung Reaksi, Petri Dish, Erlenmeyer, Pipet,)
ELAYANAN PATOLOGI ANOTOMI
ng Tup (Ruang Pemotongan Jaringan dan Pemeriksaan Makroskopik)
Work Station / Grossing Station
Autopsi Set
Pisau Potong (1 set)
Gunting (lurus,bengkok,kecil)
Gergaji Listrik
Pinset, Scalpel
Alat Pengukur (Penggaris Besi)
Alat Pengukur Berat (Timbangan) < 1 kg
Alat pengukur Berat (Timbangan) > 1 kg
Loop / Kaca Pembesar
Talenan (Alas Pemotong Jaringan)
ng Pemrosesan Jaringan (Histologi)
Automatic Tissue Processing
Manual Tissue Processing
Automatic Staining Machine
Manual Staining
Embedding Center
Fully Motorize Rotary Microtome +Waterbath
Manual Microtome +Waterbath
Cryostat
Hotplate
Peralatan Gelas Untuk Processing Manual
Timer
Microscope Binocular
Virtual Microscope
Lemari Asam
Ph Meter
Alkohol Meter
ng Klinik Sitologi
Tempat Tidur Pasien
Lampu Sorot
Tempat Tidur Gynekologi
Lampu Rontgen
Lemari Penyimpanan Bahan - Bahan FNAB
Meja Trolly Untuk Alat
Meja Kerja
Kursi
Spekulum (Cocor Bebek)
Autoclave / Sterillisator Listrik
Piston Gun
Microscope Binocular
ng Pemrosesan Cairan (Sitologi)
Manual Staining Jar
Cyto Centrifuge 1500 rpm
Cyto Spin
Timer
Pipet Set (Dari Kecil sd Besar) Masing-Masing
Microscope Binocular
Liquid Base Cytology Manual
Liquid Base Cytology Automatic / Machine
Vortex
Lemari Pendingin / Kulkas
Alkohol Meter
Hair Dryer
Rak Slide
ng Immunohistokimia
Mesin Standar Automatic Pulasan Immunohistokimia
Fully Motorize Rotary Microtome √ Waterbath
Hotplate
Lemari Pendingin 4°C
Frezer -20°C
Timer
Microscope Binocular
Microscope Double Head
ng Imunofluoresensi
Mikroskop Imunofluoresensi Lengkap Dengan Kamera dan Komputer + PC
ng Diagnosa
Microscope Binocular
Microscope Double Head
Five Headed Microscope+Camera Attached+PC
Meja Untuk Miksroskop
Kursi Untuk Diagnosis
Lemari Buku (Build In)
ELAYANAN PATOLOGI KLINIK
alatan Umum
Biosafety cabinet level 2A
Mikroskop
Sink Laboratorium
Rak untuk pewarnaan
Waterbath
Refrigerator 2-8°C
Freezer -200C
Sentrifus
Mikrosentrifus
Mikropipet
Vortex mixer
Timbangan analitik
pH meter
Inkubator
Autoklaf
Oven
EIA sistem
Rotator
Bunsen
Fume hood
Water purifier
Sitosentrifus
Spektrofotometer
Peralatan Gelas
yanan
matologi
Hematology analyzer:
Three parts differential (B)
Coagulometer
Spektrofotometer
Peralatan Laju Endap Darah (LED)
a klinik
Chemistry analyzer
Fotometer/
spektrofotometer
Analisa gas darah
Urine Analyzer
ELAYANAN RADIOLOGI
gnostik
Film viewer
Cassette & Film X-ray semua ukuran
Film marker
Film dryer
CT Multislice
USG 4D
Mobile x-ray
Dental X-ray,
Picture Archiving Communication System' (PACS)
Peralatan protektif radiasi
Perlengkapan proteksi radiasi
Emergency Kit
Viewing box
Generator set
ELAYANAN REHABILITASI MEDIK
meriksaan/Penilaian
Meja Periksa / Tempat tidur periksa / Examination Table

Lampu Periksa/Examination Lamp/Light/Hanging lamp

gnostik
Goniometer
Handgrip Streght Dynamometer
Handheld Dynamometer
Food Trolley Desentralisasi
Inclinometer
Nebulizer Jet
Nebulizer Ultrasound
Oximeter/Pulse Oximetry/Oksigen Saturasi
Peak Flow Meter
Spirometer
Tensimeter Digital / Sphygmomanometer Digital
Tensimeter Anaeroid / Sphygmomanometer Anaeroid
Stetoskop
pi Psikologi
Peralatan Konsultasi dan Terapi
oterapi Pasif
Bath Whirl Pool
Cane, crutch, and walker tips and pads/Cane Set
Crutches Set
Electro Stimulation & Analgesia
Ergocycle
Examination Table
Exercise Bicycle
Lampu Infrared
Laser Therapy
Matras / Mattress cover for medical purposes
Microwave Diathermy
Parafin Bath
Paralell bars
Platform Walker
Reciprocal Walker
Reverse Walker
Rolling Triceps Walker
Rolling/Gliding Walker
Shortwave Diathermy
Stair-Climbing Walker
Standar Walker
Suspention & Pulley Equipment
Tilt Table
Traction Unit
Treadmill
Kursi Roda/Wheel Chair
am (Gymnasium)
Perangkat olah raga senam

Peralatan Ruang GIP


gkel Halus/Kerja Kayu
Peralatan Halus/Kayu Orthotik dan Prostetik/ OP
EMULASARAN JENAZAH
Body Bags
Dissection Table
Autopsi Instrument
Head Lamp
Examination Lamp
Body Trolley
Preparation table
Refrigerated Mortuary Cabinet
Body Bags
Dissection Table
NSTALASI GIZI
han Gizi Rawat Inap
atan asuhan gizi
Alat Ukur tinggi badan dan Berat badan
Alat Ukur Lingkar Lengan Atas
Knee hight (alat ukur tinggi lutut)
Food model
Skinfold
Timbangan Bayi
Alat Ukur Panjang badan Bayi
Bed scale
Bioelectrical Analisys Impedance
Chair scale
Pita Ukur Lingkar Pinggang dan Pinggul
atan pelayanan makanan
Meja Distribusi Makanan
Rak Alat Makan
Lemari alat makan
Alat Pemanas (kompor)
Refrigerator Khusus Makanan Cair
Refrigerator
Tempat Pencucian Alat
Food Trolley Sentralisasi
Food Trolley Desentralisasi
Trolley Makanan Kelas VIP
Timbangan Makanan
Blender
Alat Makan Khusus Dewasa
Alat Makan Pasien Anak
han Gizi Rawat Jalan (Di Ruang Konseling Gizi)
Alat Ukur Tinggi Badan dan Berat Badan (Dewasa dan Anak)
Alat Ukur Lingkar Lengan Atas
Food model
Skinfold
Lemari Kaca (Untuk Food sample)
yelenggaraan Makanan (Di Ruang Penerimaan)
Timbangan Lantai
Timbangan Duduk
Timbangan Digital
Trolley Barang
Washtafell
Tempat sampah
uang penyimpanan bahan makanan kering
Timbangan Digital
Timbangan Duduk
Pallet
Refrigerator
Tempat Sampah
Chiller 4 Pintu
Tangga Lipat
Hand Lift
Trolley Barang
Timbangan Lantai
Container Bertutup
AC Split
uang penyimpanan bahan makanan segar
Timbangan Digital
Timbangan Duduk
Refrigerator
Tempat Sampah
Chiller 4 Pintu
Trolley Barang
Timbangan Lantai
Timbangan Duduk
Container Bertutup
Container Bertutup
Freezer Cabinet
Cold Room Freezer (Temp -15˚s.d -18˚C)
Cold Room Chiller (Temp √ 2˚s.d 8˚ C)
Insect Killer
uangan persiapan bahan makanan
Timbangan Duduk
Timbangan Digital
Mesin Pemotong Daging
Mesin Pemotong Sayuran
Bak Cuci
Penggiling Daging
Mixer
Blender
Penggiling Bumbu
Talenan
Food Processor
Peeler
Tempat sampah
Insect Killer
Pisau
uang pengolahan makanan
Timbangan
Cooking Range (tungku)
Frying Pan
Gelas Ukur
Bain Marrie
Blender
Boiling Pan
Boiling Pan
Oven
High Pressure Cooker
Rice Cooker
Pan Dadar / Ceplok Telur
Double Sink Heavy
Tempat Sampah
Trolley
Kuali Range
Refrigerator
Freezer
Chiller
Lemari Alat
Rak Alat
Lemari Makanan Matang
Mesin Wrapping
Panci set
Insect Killer
Meja Persiapan Snack, Makanan Cair
Cetakan Telur
Wajan
Container Tertutup
uang distribusi
Food Trolley Makanan Dengan Pemanas
Food Trolley Makanan Tanpa Pemanas
Timbangan Duduk
uang pencuci dan penyimpanan alat
Mesin Pencuci Alat
Bak Pencuci Alat
Lemari
Rak Alat
Tempat Sampah
uang Formula
Sterilisator
Tempat Sampah
Gelas Ukur
Mixer
Blender
Kompor Gas
Tungku
Cooking Range (tungku)
Refrigerator
Mesin Pencuci Botol
Bain Marrie
Lemari Bahan Makanan Kering
Rak Botol Susu
Trolley
Trolley
Rak Alat
Bak Pencuci Alat
ARANA DAN PRASARANA
Bangunan/ Ruang Gawat Darurat
Bangunan/ Ruang Rawat Jalan
Bangunan/ Ruang Rawat Inap
Bangunan/ Ruang Bedah
Bangunan/ Ruang Rawat Intensif
Ruang Isolasi
Ruang Penyimpanan Peralatan dan Barang Bersih
Ruang Perawat
Ruang Staf Dokter
Ruang Tunggu Keluarga Pasien
Bangunan/ Ruang Isolasi
Bangunan/ Ruang Radiologi
Bangunan/ Ruang Laboratorium Klinik
Bangunan/ Ruang Farmasi
Bangunan/ Ruang Gizi
Bangunan/ Ruang Rehabilitasi Medik
Bangunan/ Ruang Pemeliharaan Sarana Prasarana
Bangunan/ Ruang Pengelolaan Limbah
Ruang Sterilisasi
Bangunan/ Ruang Laundry
Bangunan/ Ruang Pemulasaraan Jenazah
Bangunan/ Ruang Administrasi
Bangunan/ Ruang Gudang
Bangunan/ Ruang Sanitasi
Bangunan/ Rumah Dinas & Asrama
Ambulan
R. Komite Medis
R. PKMRS
R. Perpustakaan
Ruang Jaga Koass
R. Pertemuan
Ruang Diklat
Ruang Diskusi
Skill Lab dan Audiovisual
Sistem Informasi Rumah Sakit
Sistem Dokumentasi Medis Pendidikan
Listrik
Air
Gas Medis
Limbah Cair
Limbah Padat
Penanganan Kebakaran
Komunikasi
DMINISTRASI DAN MANAJEMEN
Status Badan Hukum
Struktur Organisasi
Tatalaksana/Tata Kerja/ Uraian Tugas
Peraturan Internal Rumah Sakit (HBL & MSBL)
Komite Medik
Komite Etik & Hukum
Satuan Pemeriksaan Internal
Surat Izin Praktik Dokter
Surat Izin Kerja Bidan dan Perawat
Perjanjian Kerjasama Rumah Sakit & Dokter
Akreditasi RS
Surat izin penyelenggaraan Radiologi
SESSMEN RS BELLA
BERFNGSI/TIDA
KELAS C KEADAAN SAAT INI MERK
K

+
+
+

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+/-
+/-
+/-
+/-
+/-
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30%
20%

5%

9
2

2
2
2
6

1
1
1

1
1
1
1
1
1
1

1
2
4
1

1:1 (2/3
tenaga
tetap)
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+
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+
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-
+
+
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+
+
+
+
+
+

+ + berfungsi no merk
+ + berfungsi uno
+ + berfungsi everedy
+ + berfungsi spirit
+ + berfungsi reister
+
+ + berfungsi dotori

+
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+
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+ + berfungsi riester
+ + berfungsi
+
+
+
+ + berfungsi riester
+
+
+ + berfungsi lotus car
+ + berfungsi dotori
+ + berfungsi
+

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+
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+
+
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+
+
+
+

+
+
+ + berfungsi spirit
+
+ + berfungsi riester

+ + berfungsi indira production

+
+
+
+
+
+ berfungsi
+
+
+
+

+
+

+
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-
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+
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KETERANGAN
19 POLI
DIREKTORAT JENDERAL PELAYANAN KESEHATAN, KEMENTERIAN

ASPAK - Aplikasi Sarana, Prasarana dan Ala

Data Akses
RSU RS Umum Bella
Last update 6/21/2019 10:30
Kode 3275196
Nama RS Umum Bella
Alamat Jl. Ir. H .Juanda No. 141, Bekasi
Telp 021-8801778
Fax 021-88351772
Latitude -6,247,172
Longitude 107,010,540
Jenis C
Kelas C
Kepemilikan Swasta
Jumlah Bed 102
Masterplan Ada
Presentasi Bor 46:00:00
Akreditasi Sudah

Gedung RSU RS Umum Bella


Displaying 1-1 of 1 result.
Gedung Luas (m2)
Pendirian Renovasi
RS.BELLA 2552

Pelayanan RSU RS Umum Bella Ruangan

Pelayanan Medik dan Keperawatan/Pelay

Instalasi HCU

Instalasi Rawat Intensif (ICU)


Instalasi Rawat Inap
Instalasi Rawat Jalan/Poliklinik

Instalasi Gawat Darurat

Ruang Kebidanan dan Penyakit Kandungan


Instalasi Bedah Central

Penunjang Medik RS
Instalasi Pemulasaraan Jenazah
Instalasi Farmasi

Instalasi Laboratorium
Instalasi Radiodiagnostik

Instalasi Rehabilitasi Medik

Penunjang Non Medik RS


Instalasi Pencucian Linen/ Laundri
Instalasi Sterilisasi Pusat / CSSD

Instalasi Dapur Utama dan Gizi Klinik


Instalasi Sanitasi

Instalasi Pemeliharaan Sarana (Workshop)

Area Penunjang Umum dan Administrasi RS

Ruangan Bagian Pendidikan dan Pelatihan beserta Seksi-seksin

Ruangan Komite Medis

Ruangan Sekretaris Direktur

Ruangan Rapat dan Diskusi

Ruangan bagian SDM

Ruangan Arsip/file

Ruangan Tunggu

Janitor

Dapur Kecil (pantry)


Toilet

Ruangan Direksi

Ruangan bagian Keuangan dan Program

Ruangan bagian Kesekretariatan dan Rekam Medis beserta Sub

Ruangan bidang pelayanan medis beserta seksi-seksinya

Ruangan Bidang Keperawatan beserta Seksi-seksinya

Ruangan Bidang Pelayanan Penunjang Medik dan Seksinya

Prasarana RSU RS Umu


Prasarana

Sumber Listrik
Listrik PLN

Genset

UPS
Sistem Telekomunikasi
Private Automatic Branch Xchange (PABX)

Jaringan Internet

Sambungan Saluran Telepon (SST)

Sumber Air
Sumur Dangkal

PDAM

Mata Air

Air Hujan

Sumur Dalam/Artesis

Pengolahan Limbah
Limbah Cair

TPS Limbah B3/infeksius Berijin

Kerjasama Pengolahan Limbah Kepihak Berijin

Limbah Padat
Penanggulangan Bahaya Kebakaran
APAR

Hidran

Lift
Bed Lift

Lift Penumpang

Lift Barang

Ambulans
Ambulans Transport

Mobil/kereta jenazah

Gas Medik & Vakum Medik


Sentral

Tenaga Medis RSU RS Umum Bella


Displaying 1-1 of 1 result.
Nama Pendidikan

Laporan Lainya RSU RS Umum


Bella
HATAN, KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

arana, Prasarana dan Alat Kesehatan

Tahun IMB IPB Keterangan

2004 2009 ✔

Tahun
Ruangan
Ketersediaan Pendirian Renovasi

Medik dan Keperawatan/Pelayanan Klinik RS

Ruangan Perawatan HCU - - -

Ruangan rawat pasien isolasi ICU - - -


Sentral Monitoring/ Nurse Station ICU - - -

Loker (Ruang Ganti) Ada 2010 -


Ruangan Perawat ICU Ada 2010 -
Ruangan Kepala Perawat ICU Ada 2010 -

Ruangan rawat pasien non isolasi ICU Ada 2010 -

Gudang alat medik Ada 2010 -


Ruangan parkir brankar Ada 2010 -
Gudang Bersih (Clean Utility) Ada 2010 -
Ruangan Administrasi Ada 2010 -
Ruangan Dokter ICU Ada 2010 -

Gudang Kotor (Spoelhoek/ dirty ultility) Ada 2010 -

Toilet Petugas Ada 2010 -


Ruangan Tunggu Pengantar/Keluarga
Ada 2010 -
pasien ICU
Toilet Pengunjung Ada 2010 -
Ruangan Janitor/ ruangan cleaning
Ada 2010 -
service

Ruangan Perawatan Obstetri dan


- - -
Ginekologi
Ruangan Perawatan Perinatologi Ada 2006 -
Ruangan Perawatan Anak Ada 2004 -

Ruangan Perawatan Dewasa Laki-Laki Ada 2008 -

Ruangan Perawatan Dewasa


Ada 2008 -
Perempuan

Ruangan Stasi Perawat/Nurse Station Ada 2008 -

Ruangan Perawat Ada 2008 -

Ruangan Kepala Instalasi Rawat Inap Ada 2008 -

Ruangan Loker Ada 2010 -


Ruangan Linen Bersih Ada 2008 -
Ruangan Linen Kotor Ada 2008 -

Gudang Kotor (Spoel Hoek/ Dirty Utility)


Ada 2008 -
+ Janitor/ Ruang Petugas Kebersihan

Toilet Petugas/ Pengunjung Ada 2008 -


Toilet Pasien Ada 2008 -
Dapur Kecil (Pantry) Ada 2008 -
Gudang Bersih Ada 2008 -
Janitor/ Ruang Petugas Kebersihan Ada 2008 -
High Care Unit (HCU) Ada 2008 -

Ruangan Tindakan Sp. Bedah Umum/


- - -
Bedah

Ruangan Tindakan Sp. Penyakit Dalam - - -

Ruangan Klinik Umum Ada 2014 -


Ruangan Klinik Spesialis Kesehatan
Ada 2016 -
Anak
Ruangan Klinik Spesialis Penyakit
Ada 2010 -
Dalam
Ruangan Klinik Sp. Bedah Ada 2004 -
Ruangan Klinik Sp. Kebidanan dan
Ada 2014 -
Kandungan
Ruangan Klinik dr. Gigi umum, Gigi
Spesialis dan Gigi Sub Spesialis

Ruangan Linen Steril Ada 2004 -


Ruangan Rekam Medik - - -

Ruangan Administrasi dan Pendaftaran - - -

Ruangan Tunggu Pengantar


Ada 2010 -
Pasien/Keluarga
Ruangan Triase Ada 2010 -
Ruangan Resusitasi Ada 2010 -
Ruangan Tindakan Ada 2010 -
Ruangan Observasi Ada 2010 -
Area/ Ruangan/ Depo Obat (Satelit) Ada 2010 -
Area Penyimpanan Alat Medik Ada 2010 -
Ruangan Dokter Konsulen Ada 2010 -

Ruangan Pos Perawat/Nurse Station Ada 2010 -

Ruangan Petugas/Staf/Perawat Ada 2010 -


Gudang Kotor (Ruangan Spoel Hoek/
Ada 2010 -
Dirty Utility)
Toilet Petugas Ada 2010 -
Ruangan Khusus/ Isolasi Ada 2010 -
Ruangan Gas Medis Ada 2010 -
Ruangan Parkir Troli/ Kursi Roda Ada 2010 -
Ruangan Strectcher/Brangkar Ada 2010 -
andungan

Ruangan Administrasi dan Pendaftaran Ada 2004 -


Ruang Tunggu Pengantar Pasien Ada 2004 -
Ruang Scrub/Cuci Tangan Ada 2004 -
Ruangan Persiapan Bersalin
(Observasi) Tanpa Komplikasi/Kala II-III Ada 2004 -
(labour)
Ruang Persiapan Bersalin (Observasi)
dengan komplikasi (pre-eclamsy Ada 2004 -
labour)
Ruang Bersalin Tanpa Komplikasi
Ada 2004 -
(VK/delivery)
Pemulihan/Recovery Ada 2004 -
Ruang Bayi Normal/Transisi Ada 2004 -
Ruangan Perawatan (Post Partum) Ada 2004 -
Gudang Barang Bersih Ada 2004 -
Ruang Ganti Pakaian/ Loker Ada 2004 -
Ruangan Penyimpanan Linen Ada 2004 -
Ruangan Dokter Ada 2004 -
Ruang Perawat/Petugas Ada 2004 -
Ruangan Janitor/ Utilitas Kotor Ada 2004 -

Gudang Kotor (Spoolhoek/Dirty Utility) Ada 2004 -

Toilet( Petugas, Pasien, Pengunjung) Ada 2004 -

Ruang Pendaftaran Ada 2004 -


Ruang Tunggu Ada 2004 -
Ruang Transfer (Ganti Brankar) +
Ada 2004 -
Parkir Brankar
Ruangan Persiapan Ada 2004 -
Area Scrub Station Ada 2004 -
Ruangan Bedah Minor/endoscopy - - -
Ruangan Bedah Umum Ada 2004 -
Ruangan Recovery/Pemulihan Ada 2004 -
Gudang Steril (Clean Utility) Ada 2004 -
Ruangan Ganti Pakaian/loker Ada 2004 -
Depo Farmasi (Satelit) Ada 2004 -
Ruangan Dokter/Staf Ada 2004 -
Ruangan Perawat Ada 2004 -
Ruangan Janitor Ada 2004 -
Ruangan Spoel Hoek Ada 2004 -
Toilet Petugas Ada 2004 -
KM/WC (Toilet Petugas) - - -
Ruangan Kepala Instalasi
- - -
Pemulasaraan Jenazah
Ruangan Ganti Pakaian APD
- - -
(Dilengkapi Toilet)
Ruangan Pendingin Jenazah - - -
Ruangan Dekontaminasi dan
- - -
Pemulasaraan Jenazah

Gudang Perlengkapan Ruang Duka - - -

Ruangan Duka (Dilengkapi Toilet) - - -

Ruangan Tunggu Keluarga Jenazah - - -

Ruangan Administrasi - - -
KM/WC (Toilet Pengunjung)

Unit Apotik Satelit - - -


Ruangan Peracikan Obat Ada 2004 -
Depo/ ruang bahan baku obat Ada 2004 -
Depo/ ruang obat jadi Ada 2004 -
Ruangan Administrasi (Penerimaan dan
Ada 2004 -
Distribusi Obat)
Konter Apotik Utama (Loket
Penerimaan Resep, Loket
Ada 2004 -
Pembayaran, dan Loket Pengambilan
Obat)
Ruangan Loker Petugas (Pria dan
Ada 2004 -
Wanita dipisah)
Ruangan Arsip Dokumen dan
Ada 2004 -
Perpustakaan)
Ruangan Kepala Instalasi Farmasi Ada 2004 -
Ruangan Petugas Ada 2004 -
Ruangan Tunggu Ada 2004 -
Dapur Kecil (Pantry) Ada 2004 -
KM/WC Petugas Ada 2004 -
Ruangan Apoteker Ada 2004 -
Gudang Perbekalan dan Alat
Ada 2004 -
Kesehatan
Depo/ Ruang Obat Khusus Ada 2004 -

Ruangan Biologi Molekuler (Ruang


- - -
Pemeriksaan)
Ruangan Musholla - - -
Ruangan Histologi (Ruang Khusus) - - -
Ruangan Mikrotom (Ruang Khusus) - - -

Ruangan Potong Jaringan Patologi


- - -
Anatomik (Ruang Khusus)
Ruangan Imunologi (Ruang
- - -
Pemeriksaan)
Ruangan Bank Darah - - -
Ruangan Tunggu Pasien dan
Ada 2004 -
Pengantar Pasien
Ruangan Administrasi dan Rekam
Ada 2004 -
Medis
Ruangan Pengambilan/Penerimaan
Ada 2004 -
Bahan/Sampel
Ruangan Flebotomi Ada 2004 -
Ruangan Sputum/Dahak Ada 2004 -
Ruangan Urin/Tinja Ada 2004 -
Ruangan Spesimen Lain (Pus, Kerokan
Ada 2004 -
Kulit, dll)
Ruangan Spesimen Genital Ada 2004 -
Ruangan Pengolahan Sampel Ada 2004 -
Ruangan Konsultasi Ada 2004 -
Ruangan Kimia Klinik (Ruang
Ada 2004 -
Pemeriksaan)
Ruangan Urin/Tinja (Ruang
Ada 2004 -
Pemeriksaan)
Ruangan Hematologi (Ruang
Ada 2004 -
Pemeriksaan)
Ruangan Patologi Anatomi (Ruang
- - -
Pemeriksaan)
Ruangan Penyimpanan Bahan Habis
Pakai dan Reagen (Ruang Ada 2004 -
Pemeriksaan)

Ruangan Arsip (Ruang Pemeriksaan) Ada 2004 -

Ruangan Administrasi Hasil (Ruang


Ada 2004 -
Pemeriksaan)
Ruangan Kerja Dokter (Ruang
Ada 2004 -
Pemeriksa Hasil)
Ruangan Penyimpanan Jaringan
Ada 2004 -
Patologi Anatomik (Ruang Khusus)
Ruangan Penyimpanan dan Ganti
Ada 2004 -
Pakaian Staf
Ruangan Makan/Pantry Staf - - -
Toilet Pasien Ada 2004 -
Toilet Staf Ada 2004 -

Ruangan Kepala Laboratorium Medik Ada 2004 -

Ruangan Petugas Laboratorium Ada 2004 -

Ruangan Administrasi dan Rekam


Ada 2004 -
Medik
Ruangan General X-ray (Ruang
Ada 2004 -
Pemeriksaan/ Diagnostik)
Ruangan Tunggu Pasien & Pengantar
Ada 2004 -
Pasien
Loket Pendaftaran, pembayaran dan
Ada 2004 -
pengambilan hasil
Ruangan Konsultasi Dokter Ada 2004 -
Ruangan Ultra Sonografi/ USG (Ruang
Ada 2004 -
Pemeriksaan/ Diagnostik)
Ruangan Mobil X-Ray (Ruang
Ada 2004 -
Pemeriksaan/ Diagnostik)

Ruangan Dental X-Ray + Panoramic


- - -
(Ruang Pemeriksaan/ Diagnostik)

KM/ WC Pasien Ada 2004 -


Kamar Processing Film (digital ataupun
Ada 2004 -
AFP Kering)
Ruangan Jaga Radiografer Ada 2004 -
Gudang penyimpanan berkas Ada 2004 -
Gudang penyimpanan Film dan Non
Ada 2004 -
Film
KM/WC Petugas Ada 2004 -

Ruangan Terapi Psikologi Ada 2014 -


Loket Pendaftaran dan Pendataan Ada 2004 -
Ruangan Pemeriksaan/ Penilaian
Ada 2004 -
Dokter
Ruangan Administrasi, Keuangan dan
Ada 2004 -
Personalia
Ruangan Tunggu Pasien & Pengantar
Ada 2004 -
Pasien
Ruangan Diagnostik Dokter Ada 2004 -
Ruangan Fisioterapi Pasif Ada 2004 -
Ruangan Fisioterapi Aktif - - -
Ruangan Senam (Gymnasium) Ada 2004 -
KM/WC Petugas - - -
Ruangan Dekontaminasi Troli - - -
Ruangan Pengeringan Linen - - -
Ruangan Cuci Linen - - -
Ruangan Perbaikan Linen / Jahit - - -
Ruangan Setrika dan Pengeringan
- - -
Laundri
Ruangan Kepala Laundri - - -
Gudang Bahan Kimia - - -
Ruangan Penyimpanan Troli Ada 2004 -

Ruangan Administrasi dan Pencatatan Ada 2004 -

Ruangan Penerimaan dan Sortir Ada 2004 -


Ruangan Penyimpanan Linen Ada 2004 -

Gudang Steril Ada 2004 -


Ruangan Penerimaan Linen Bersih
Ada 2004 -
Siap Sterilisasi
Ruangan Kepala Instalasi CSSD Ada 2004 -
Ruangan Ganti Petugas (Loker) Ada 2004 -
Ruangan Staf/ Petugas Ada 2004 -
KM/WC Petugas Ada 2004 -

Ruangan Penerimaan dan


Ada 2004 -
Penimbangan Bahan Makanan
Ruangan Penyimpanan bahan
Ada 2004 -
makanan basah
Ruangan penyimpanan bahan
Ada 2004 -
makanan kering
Ruang / Area Persiapan Ada 2004 -
Ruangan Pengolahan/ Memasak dan
Ada 2004 -
Penghangatan Makanan
Ruangan Cuci Ada 2004 -
Ruangan Penyimpanan Troli Gizi Ada 2004 -
Ruangan Penyimpanan Peralatan
Ada 2004 -
Dapur
Ruangan Ganti Alat Pelindung Diri
Ada 2004 -
(APD) dan Loker
Ruangan Administrasi Ada 2004 -
Ruangan Kepala Instalasi Gizi Ada 2004 -
Janitor Ada 2004 -
Ruangan Pengaturan dan
Ada 2004 -
Penyimpanan Tabung Gas Elpiji
Gudang Alat Ada 2004 -
Ruangan Petugas Jaga Dapur Ada 2004 -
KM/WC petugas Ada 2004 -
Ruangan Pembagian/ Penyajian
Ada 2004 -
Makanan

Ruang Kerja dan Arsip Ada 2004 -


Area Pengolahan Air Limbah Ada 2004 -
Area Pengelolaan Limbah Padat Ada 2004 -
Area TPS Ada 2004 -
KM/WC Petugas Ada 2004 -

Ruangan Kepala IPSRS Ada 2004 -


Ruangan Administrasi (Pencatatan) dan
Ada 2004 -
Ruang Kerja Staf
Ruangan Rapat/ Pertemuan Teknis Ada 2004 -
Bengkel/ Work Shop Ada 2004 -
Gudang Spare Part Ada 2004 -
Gudang Alat Rusak Ada 2004 -
KM/WC Petugas Ada 2004 -

Pelatihan beserta Seksi-seksinya


Ruangan Kepala Bagian Pendidikan
Ada 2009 -
dan Pelatihan
Ruangan Bagian Pendidikan dan
Ada 2009 -
Pelatihan

Ruangan Kepala Komite Medis Ada 2004 -


Ruangan Komite Medis Ada 2004 -

Ruangan Sekretaris Direktur Ada 2004 -

Ruangan Rapat dan Diskusi Ada 2004 -

Ruangan Kepala Bagian SDM Ada 2004 -


Ruangan Bagian SDM Ada 2004 -

Ruangan Arsip/file Ada 2004 -

Ruangan Tunggu Ada 2004 -

Janitor Ada 2004 -


Dapur Kecil (pantry) Ada 2004 -

Toilet Ada 2004 -

Direksi Ada 2004 -

Ruangan Bagian Keuangan dan


Program beserta Sub Bagian- Ada 2004 -
bagiannya
Ruangan Kepala Bagian Keuangan dan
Ada 2004 -
Program
dan Rekam Medis beserta Sub Bagian-bagiannya
Ruangan Bagian Rekam Medis Ada 2004 -

Ruangan Kepala Bagian


Ada 2004 -
Kesekretariatan beserta seksi-seksinya

beserta seksi-seksinya
Ruangan Kepala Bidang Pelayanan Ada 2004 -
Ruangan Bidang Pelayanan Ada 2004 -
serta Seksi-seksinya

Ruangan Kepala Bidang Keperawatan Ada 2004 -

Ruangan Bidang Keperawatan Ada 2004 -


njang Medik dan Seksinya
Ruangan Kepala Bidang Pelayanan
Ada 2004 -
Penunjang Medik
Ruangan Bidang Pelayanan Penunjang
Ada 2004 -
Medik

rana RSU RS Umum Bella


Jumlah/
Ketersediaan Keterangan
Kapasitas

Daya Listrik Terpasang/Kapasitas Ada 485 KVA Berfungsi

Total Kapasitas Genset yg Berfungsi Ada 500 KVA Berfungsi

Jumlah genset yang berfungsi Ada 1 Unit Berfungsi

Jumlah Operator Genset Bersertifikat - - -


Total Kapasitas UPS yg berfungsi Ada 7 Unit Berfungsi
Jumlah UPS yang berfungsi Ada 7 Unit Berfungsi

Jumlah Unit PABX yang Dimiliki Ada 1 Unit Berfungsi


Total Kapasitas Saluran (Berfungsi) Ada 93 Saluran Berfungsi

Jumlah Saluran Jaringan Internet Ada 2 Saluran Berfungsi


Jumlah Saluran Jaringan Internet yang
Ada 2 Saluran Berfungsi
Berfungsi

Jumlah SST yang Berfungsi Ada 21 Saluran Berfungsi

Rata Pemakaian Air Sumur Dangkal


Ada 80 M3/hari Berfungsi
Perhari

Rata Pemakaian PDAM per hari - - -

Rata-rata pemakaian mata air per hari

Rata-rata pemakaian air hujan per hari

Rata Pemakaian Air Sumur Dalam per


hari

Total Kapasitas Ada 40 M3 Berfungsi


Jumlah IPAL yang Berfungsi Ada 1 Unit Berfungsi
Jumlah IPAL Yang Berijin Ada 1 Unit Berfungsi

Jumlah TPS Limbah B3/infeksius


Ada 1 Unit Berfungsi
Berijin
epihak Berijin
MOU Limbah Padat/B3 Ada 1 Dokumen Berfungsi
MOU Limbah Cair Ada 1 Dokumen Berfungsi

Total Kapasitas Incinerator - - -


Jumlah Incinerator yg Berfungsi - - -

Temperatur Ruang Bakar Pertama oC - - -


Temperatur Ruang Bakar Kedua oC - - -

Jumlah Incinerator yg Berijin - - -

Jumlah APAR Total (Keseluruhan) Ada 52 Tabung Berfungsi


Jumlah APAR yang Berfungsi Ada 52 Tabung Berfungsi

Jumlah Tiang Hidran Lapangan Ada 2 Unit Berfungsi


Jumlah Box Hidran Bangunan Ada 18 Unit Berfungsi

Jumlah Bed Lift Yg Berfungsi Ada 1 Unit Berfungsi

Jumlah Lift Penumpang Yg Berfungsi Ada 2 Unit Berfungsi

Jumlah lift barang yg berfungsi Ada 1 Unit Berfungsi

Jumlah ambulance transport Kondisi


Ada 2 Unit Berfungsi
Baik

Jumlah mobil/kereta jenazah Kondisi


- - -
Baik

Sentral Gas Oksigen / O2 Tabung Ada 1 Unit Berfungsi


Sentral Udara Tekan Alat Ada 1 Unit Berfungsi

TMT Jabatan Telephone


1-Nov-15
Kondisi

-
-

Baik
Baik
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- IGD

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-
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DATA FIX PERMINTAAN KEBUTUHAN PEMENUHAN ALKES
SESUAI ASPAK DAN PMK 56 THN 2014

Volume Volume
Jenis Pelayanan No Nama Alat Lokasi
seharusnya Permintaan
Rawat Inap 1 EKG 2 1 Lt 2, 3
2 Defibrillator 2 2 Lt 2, 3
ENT [ Ear Nose Throat
3 2 2 Lt 2, 3
Examination]
4 Infus Pump 2 1 Lt 3
5 Lampu Pemeriksaan 2 2 Lt 2, 3
6 Matras Dekubitus 2 2 Lt 3, VK
7 Pulse Oksimetri 2 2 Lt 2,3
Lt 2, 3
8 Suction Pump Dewasa Portable 2 2
1 di ICU pinjam
9 Bed Electric 2 2
10 Tensimeter Aneroid 3 3 Lt 2,3, ICU
11 Tensimeter Digital 2 2 Lt2,3
12 Bed Side Monitor 3 3 Lt 2, 3, R. Post Partum/vk
13 Stetoskop Bayi 1 1 Lt2
14 Toynbee Diagnostic Tube 2 2 Lt 2, 3
15 Baby Suction Pump 2 2 Bayi, VK
16 Termometer Rectal 4 4 Peri, Lt2, VK, By Sehat
17 Intubasi Set 2 2 lt 2,3
18 Dopler 3 1 R. VK
19 Stretcher / Branchard 1 1 Lt2
20 Antidecubitus Matras 1 1 Lt3
21 Meja Mayo 1 1 Lt3 Post Partum
22 Nebulizer 1 1 Lt3 Post Partum
23 Minor Surgery Set 1 1 Lt3 Post Partum
24 CTG 1 1 VK
25 USG 3D 1 1 VK
26 Inkubator Transport 1 1 Perinatologi
27 Pen Light 5 5 Lt 2,3, VK, ICU, Bayi

Volume Volume
Jenis Pelayanan No Nama Alat Lokasi
seharusnya Permintaan
Rawat Jalan 1 Tensimeter Aneroid 3 3 HD, IGD
2 Tensimeter Digital 4 4 HD, Rawat Jalan
3 Pneumatic Splint Set 1 1 IGD
4 Pen Light 7 7 HD, IGD, Rawat Jalan
5 CTG 1 1 IGD
6 Timbangan Dewasa 4 4 R.Jalan
7 Timbangan Bayi 1 1 Poli Anak
8 Reflex Hammer 2 2 R. Jalan
9 Termometer Digital 2 2 R. Jalan

Volume Volume
Jenis Pelayanan No Nama Alat Lokasi
seharusnya Permintaan
Kamar OK 1 Defibrillator 1 1 RR, Kamar Bedah
2 Mastektomi Set 1 1 OK
3 Infus Pump 2 2 OK, RR
4 Emergency Trolley 1 1 OK

Kepala Ruangan 1. Heni Sulista

2. Julia

3. Icha Marissa Gowns

4. Roida Elta

5. Dwi Suci Utami

6. Ellysabeth Simarmata

7. Lina Hartati

8. Amelia Sagita Kansil

9. Esterlina

Mengetahui 1. Mesry

2. dr.Ade Adra S
Instalasi Gawat Darurat
Ruangan Triase
S/N:- 4, Rp.100000
Stetoskop/Stetoskop Dewasa RIESTER Stethoscope Duplex 2.0 Stainless Steel (M) 2010 2018 Baik Belum
Type: Adult, Baby & Neonate / 74 cm BERFUNGSI
S/N:- 4, Rp.200000
Timbangan bayi ONEMED (M) 2010 2018 Baik Belum
Type: TN996 BERFUNGSI
S/N:- 4, Rp.80000
Timbangan dewasa; CAMRI (M) 2010 2018 Baik Belum
Type: TN997 BERFUNGSI
S / N : 301018063 4, Rp.1000000
Kursi roda -unknown- (M) 2018 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018065 4, Rp.1500000
Stretcher/Brankar -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018066 4, Rp.65000
Termometer digital -unknown- (M) 2017 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018068 4, Rp.950000
Tensimeter -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018069 4, Rp.350000
Pocket oximetry -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 2019IGD001
Tensimeter Anaeroid -unknown- (M) 2019 2019 Baik Belum 4, Rp.90000
Type: -unknown-
Tensimeter Digital / Sphygmomanometer Digital dengan S / N : 2019IGD002
-unknown- (M) 2019 2019 Baik Belum 4, Rp.395000
manset untuk bayi dan anak Type: -unknown-
Ruangan Resusitasi
S / N : 71144033272 4, Rp.40000000
Defibrilator METRAX (M) 2014 2018 Baik Sudah
Type: M-110 BERFUNGSI
S/N:- 4, Rp.1000000
X-Ray Film Viewer - (M) 2010 2018 Baik Belum
Type: - BERFUNGSI
Examination light / Examination lamp / Lampu periksa / S/N:- 4, Rp.500000
LOTUS (M) 2004 2018 Baik Belum
Hanging lamp Type: LTS-389 BERFUNGSI
S/N:- 4, Rp.2100000
Laringoskop HIENE GERMANY (M) 2004 2018 Baik Belum
Type: - BERFUNGSI
S / N : 07A077A0638 4, Rp.550000
Nebulizer VENTALAIR MAX (M) 2004 2018 Baik Belum
Type: AE-650-044 BERFUNGSI
S / N : 30902141 4, Rp.2850000
Oximeter / pulse oximeter / Oksigen Saturasi RIESTER (M) 2010 2018 Baik Sudah
Type: CE0124 BERFUNGSI
S/N:- 4, Rp.285000
Resusitation Set / Resusitation bay / Resusitation kit - (M) 2008 2018 Baik Belum
Type: - BERFUNGSI
Suction pump/Pompa vakum /Vacuum-powered body fluid S / N : 312505 4, Rp.3500000
MANULIFE (M) 2006 2018 Baik Belum
suction apparatus; Suction Pump Mobile Type: MS-710 BERFUNGSI
S / N : 301018070 4, Rp.5500000
Syringe Pump -unknown- (M) 2017 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018071 4, Rp.1500000
Emergency Trolley / Resuscitation Crash Cart -unknown- (M) 2017 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301019072 4, Rp.5000000
Infusion pump -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S/N:- 4, Rp.15000000
Bed patient PARAMOUNT BED (M) 2008 2018 Baik Belum
Type: - BERFUNGSI
S / N : 301018073 4, Rp.65000
Termometer digital -unknown- (M) 2018 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018075 4, Rp.950000
Tensimeter -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018077 4, Rp.975000
Stetoskop/Stetoskop Dewasa 3M LITTMAN Master Classic II Stethoscope (M) 2016 2018 Baik Belum
Type: -unknown- berfungsi

Ruangan Strectcher/Brangkar

S / N : 02012019100-IGD
Stretcher/Brankar unknown (M) 2012 2019 Baik Belum 4, Rp.1500000
Type: unknown
Ruangan Observasi
S / N : 301018078 4, Rp.1750000
Stretcher/Brankar -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018079 4, Rp.15000000
Bed-side Monitor/Bed-patient monitor/Patient monitor -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018080 4, Rp.15000000
Bed-side Monitor/Bed-patient monitor/Patient monitor -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018082 4, Rp.75000000
Defibrilator -unknown- (M) 2012 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018083 4, Rp.35000000
ECG/EKG/Electrocardiograph -unknown- (M) 2015 2018 Baik Belum
ECG/EKG/Electrocardiograph -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018084 4, Rp.3750000
Emergency Trolley / Resuscitation Crash Cart -unknown- (M) 2017 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018085 4, Rp.5000000
Infusion pump -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 2019IGD003
Pneumatic Splint Set -unknown- (M) 2019 2019 Baik Belum 4, Rp.1300000
Type: -unknown-
S / N : 301018086 4, Rp.7500000
Resusitation Set / Resusitation bay / Resusitation kit -unknown- (M) 2012 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018087 4, Rp.385000
Stetoskop/Stetoskop Dewasa RIESTER Stethoscope Duplex 2.0 Aluminium (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018088 4, Rp.1500000
Aspirator/Vacuum/Suction pump portable -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018089 4, Rp.5500000
Syringe Pump -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018090 4, Rp.1350000
Tensimeter -unknown- (M) 2012 2018 Baik Belum
Type: -unknown- berfungsi
Ruangan Pos Perawat/Nurse
Station
S / N : 02012019100-IGD
Komputer dan Printer -unknown- (M) 2012 2019 Baik Belum 4, Rp.4000000
Type: -unknown-

Area Penyimpanan Alat Medik

S / N : 02012019101-IGD
Lemari Peralatan -unknown- (M) 2012 2019 Baik Belum 4, Rp.1500000
Type: -unknown-
Gudang Kotor (Ruangan Spoel
Hoek/ Dirty Utility)
S / N : 02012019102-IGD
Sink / wastafel / bak cuci -unknown- (M) 2012 2019 Baik Belum 4, Rp.1500000
Type: -unknown-
Toilet Petugas
S / N : others
Medical washer-disinfector -unknown- (M) 2018 2018 Baik Belum 4, Rp.100000
Type: -unknown-
Ruangan Tindakan
S / N : 11012019IGD-3
Gynecological Bed/Obstetric table and accessories -unknown- (M) 2010 2019 Baik Belum 4, Rp.2000000
Type: -unknown-
S / N : 301018095 4, Rp.4500000
Bed patient -unknown- (M) 2012 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 2019IGD004
Lampu kepala / head lamp -unknown- (M) 2019 2019 Baik Belum 4, Rp.160000
Type: -unknown-
Examination light / Examination lamp / Lampu periksa / S / N : LTS389-SE20108
-unknown- (M) 2010 2019 Baik Belum 4, Rp.625000
Hanging lamp Type: -unknown-
S / N : 2019IGD005
Minor Surgery Set -unknown- (M) 2010 2019 Baik Belum 4, Rp.450000
Type: -unknown-
Ruangan Khusus/ Isolasi
S / N : 301018097 4, Rp.7500000
Bed patient -unknown- (M) 2012 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018IGD-001 4, Rp.15000000
Bed-side Monitor/Bed-patient monitor/Patient monitor -unknown- (M) 2016 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018IGD-003 4, Rp.950000
Emergency Trolley / Resuscitation Crash Cart -unknown- (M) 2017 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018IGD-005 4, Rp.385000
Stetoskop/Stetoskop Dewasa RIESTER Stethoscope Duplex 2.0 Aluminium (M) 2017 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018IGD-007 4, Rp.65000
Termometer digital -unknown- (M) 2017 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018IGD-008 4, Rp.985000
Tensimeter RIESTER NOVA Sphygmomanometer (M) 2016 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 301018IGD-009 4, Rp.7500000
Oxygen Concentrator / Portable Oxygen Generator. -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
Ruangan Dokter Konsulen
S / N : others
Komputer dan Printer -unknown- (M) 2018 2018 Baik Belum 4, Rp.4000000
Type: -unknown-
Ruangan Gas Medis
S / N : 02012019103-IGD
Oxygen set+flowmeter -unknown- (M) 2012 2019 Baik Belum 4, Rp.1500000
Type: -unknown-
Nama alat

Instalasi Rawat Jalan/Poliklinik


Ruangan Klinik Spesialis
Penyakit Dalam

Ruangan Klinik Spesialis


Kesehatan Anak
Ruangan Klinik Sp. Bedah
Ruangan Klinik Sp. Kebidanan
dan Kandungan
Ruangan Klinik Umum

Ruangan Tindakan Sp. Penyakit


Dalam
Ruang HD lama
Ruangan Tindakan Sp. Bedah
Umum/ Bedah

Instalasi Gawat Darurat


Ruangan Triase

Ruangan Resusitasi
Ruangan Strectcher/Brangkar

Ruangan Observasi
Ruangan Pos Perawat/Nurse
Station

Area Penyimpanan Alat Medik

Gudang Kotor (Ruangan Spoel


Hoek/ Dirty Utility)

Toilet Petugas

Ruangan Tindakan
Ruangan Khusus/ Isolasi

Ruangan Dokter Konsulen

Ruangan Gas Medis

Nama alat

Instalasi Rawat Inap


Ruangan Perawatan Anak
Ruangan Perawatan
Perinatologi
Ruangan Perawatan Obstetri
dan Ginekologi

Instalasi Bedah Central

Ruangan Ganti Pakaian/loker

Ruangan Persiapan
Ruangan Recovery/Pemulihan
Ruangan Bedah Umum
Ruangan Dokter/Staf

Area Scrub Station


Ruangan Spoel Hoek

Ruangan Janitor
Toilet Petugas

Ruang Pendaftaran

Ruangan Perawat

Depo Farmasi (Satelit)

Ruang Transfer (Ganti Brankar)


+ Parkir Brankar

Gudang Steril (Clean Utility)


Ruangan Bedah
Minor/endoscopy

Instalasi Rawat Intensif (ICU)


Ruangan rawat pasien non
isolasi ICU
Ruangan rawat pasien isolasi
ICU

Ruang Kebidanan dan Penyakit Kandungan

Ruang Persiapan Bersalin


(Observasi) dengan komplikasi
(pre-eclamsy labour)

Ruangan Perawatan (Post


Partum)
Ruangan Persiapan Bersalin
(Observasi) Tanpa
Komplikasi/Kala II-III (labour)
Ruang Bersalin Tanpa
Komplikasi (VK/delivery)

Pemulihan/Recovery
Ruang Bayi Normal/Transisi

Instalasi HCU
Ruangan Perawatan HCU
alat

Pelayanan Medik dan Keperawatan/Pelayanan Klinik RS

X-Ray Film Viewer

X-Ray Film Viewer

Meja Periksa / Tempat tidur periksa / Examination Table

Meja Periksa / Tempat tidur periksa / Examination Table

Pen Light / Lampu Senter

Pen Light / Lampu Senter

Stetoskop/Stetoskop Dewasa

Stetoskop/Stetoskop Dewasa

Timbangan dewasa;

Timbangan dewasa;

Termometer digital

Termometer digital

Tensimeter

Tensimeter

Cool box immunization / Cold Chain (untuk penyimpan vaksin)

Examination light / Examination lamp / Lampu periksa /


Hanging lamp

Meja Periksa / Tempat tidur periksa / Examination Table

Pen Light / Lampu Senter


Pen Light / Lampu Senter

Stetoskop anak

Stetoskop bayi

Tensimeter

Termometer digital

Timbangan anak

Timbangan bayi

Sudip/penekan lidah/Tongue depressor

Nebulizer

Resusitator Anak

Resusitator bayi/neonatus

Baby Suction Pump

X-Ray Film Viewer

Examination light / Examination lamp / Lampu periksa /


Hanging lamp

Meja Periksa / Tempat tidur periksa / Examination Table

Hecting set

Minor Surgery Set

Lampu kepala / head lamp

Stetoskop/Stetoskop Dewasa

Tensimeter

Tensimeter
Alat pembuka gips

Reflex hammer/Palu pengukur reflex

Aspirator/Vacuum/Suction pump portable

Aspirator/Vacuum/Suction pump portable

Termometer digital

ESU/Electrosurgical Unit

Electro couter bipolar

Cardiotocograph/CTG

Cardiotocograph/CTG

Doppler

Doppler

Forcep Biopsi

Forcep Biopsi

Forcep Biopsi

Forcep Biopsi

Obstetric-gynecologic general manual instrument

Obstetric-gynecologic general manual instrument

Implant Kit

Implant Kit

IUD Kit

IUD Kit
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Examination light / Examination lamp / Lampu periksa /
Hanging lamp

Gynecological Bed/Obstetric table and accessories

Gynecological Bed/Obstetric table and accessories

Minor Surgery Set

Minor Surgery Set

Pap smear kit

Pap smear kit


Pap smear kit

Sonde Uterus (Uterine Sound)

Sonde Uterus (Uterine Sound)

Sonde Uterus (Uterine Sound)

Sonde Uterus (Uterine Sound)

Sterilisator Portable

Sterilisator Portable

Stetoskop/Stetoskop Dewasa

Stetoskop/Stetoskop Dewasa

Aspirator/Vacuum/Suction pump portable

Aspirator/Vacuum/Suction pump portable

Tampon tang

Tampon tang

Tensimeter

Tensimeter

Timbangan dewasa;
Timbangan dewasa;

Timbangan dewasa;

USG 4D

USG 4D

USG 3D

USG 3D

Colposcope
Colposcope
Office histeroscopy
Office histeroscopy

Meja Periksa / Tempat tidur periksa / Examination Table

X-Ray Film Viewer

Pen Light / Lampu Senter

Stetoskop/Stetoskop Dewasa

Termometer digital

Timbangan dewasa;

Tensimeter

Meja Periksa / Tempat tidur periksa / Examination Table


X-Ray Film Viewer
Pen Light / Lampu Senter
Stetoskop/Stetoskop Dewasa
Termometer digital
Emergency Trolley / Resuscitation Crash Cart
Defibrilator
Minor Surgery Set
Lever biopsi set
ECG/EKG/Electrocardiograph 6 CH
Syringe Pump
Trocar
Oximeter / pulse oximeter / Oksigen Saturasi
Tensimeter

Stetoskop/Stetoskop Dewasa
Tensimeter Digital
Meja Periksa / Tempat tidur periksa / Examination Table
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Minor Surgery Set
Circumsisi set
ESU/Electrosurgical Unit
Emergency set
Hecting set
Anasthesi local set
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile
Sterilisator kering/Dry-heat sterilizer
Tensimeter

Stetoskop/Stetoskop Dewasa

Timbangan bayi

Timbangan dewasa;

Kursi roda

Stretcher/Brankar

Termometer digital

Tensimeter

Pocket oximetry

Tensimeter Anaeroid

Tensimeter Digital / Sphygmomanometer Digital dengan


manset untuk bayi dan anak
Defibrilator

X-Ray Film Viewer

Examination light / Examination lamp / Lampu periksa /


Hanging lamp

Laringoskop

Nebulizer

Oximeter / pulse oximeter / Oksigen Saturasi

Resusitation Set / Resusitation bay / Resusitation kit

Suction pump/Pompa vakum /Vacuum-powered body fluid


suction apparatus; Suction Pump Mobile

Syringe Pump

Emergency Trolley / Resuscitation Crash Cart

Infusion pump

Bed patient

Termometer digital

Tensimeter

Stetoskop/Stetoskop Dewasa

Stretcher/Brankar

Stretcher/Brankar

Bed-side Monitor/Bed-patient monitor/Patient monitor

Bed-side Monitor/Bed-patient monitor/Patient monitor

Defibrilator
Defibrilator

ECG/EKG/Electrocardiograph

Emergency Trolley / Resuscitation Crash Cart

Infusion pump

Pneumatic Splint Set

Resusitation Set / Resusitation bay / Resusitation kit

Stetoskop/Stetoskop Dewasa

Aspirator/Vacuum/Suction pump portable

Syringe Pump

Tensimeter

Komputer dan Printer

Lemari Peralatan

Sink / wastafel / bak cuci

Medical washer-disinfector

Gynecological Bed/Obstetric table and accessories

Bed patient

Lampu kepala / head lamp

Examination light / Examination lamp / Lampu periksa /


Hanging lamp
Minor Surgery Set

Bed patient

Bed-side Monitor/Bed-patient monitor/Patient monitor

Emergency Trolley / Resuscitation Crash Cart

Stetoskop/Stetoskop Dewasa

Termometer digital

Tensimeter

Oxygen Concentrator / Portable Oxygen Generator.

Komputer dan Printer

Oxygen set+flowmeter

alat

Pelayanan Medik dan Keperawatan/Pelayanan Klinik RS

Baby Suction Pump

Baby Suction Pump

Baby Suction Pump

ECG/EKG/Electrocardiograph

ECG/EKG/Electrocardiograph

ECG/EKG/Electrocardiograph

X-Ray Film Viewer


X-Ray Film Viewer

X-Ray Film Viewer

Emergency Trolley / Resuscitation Crash Cart

Emergency Trolley / Resuscitation Crash Cart

Emergency Trolley / Resuscitation Crash Cart

Examination light / Examination lamp / Lampu periksa /


Hanging lamp
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Examination light / Examination lamp / Lampu periksa /
Hanging lamp

Nebulizer

Nebulizer

Nebulizer

Oxygen Concentrator / Portable Oxygen Generator.

Oxygen Concentrator / Portable Oxygen Generator.

Oxygen Concentrator / Portable Oxygen Generator.

Tempat tidur anak / Pediatric Hospital Bed

Tempat tidur anak / Pediatric Hospital Bed

Tempat tidur anak / Pediatric Hospital Bed

Tensimeter

Tensimeter

Tensimeter

Termometer digital
Termometer digital

Termometer digital

Stetoskop anak

Stetoskop anak

Stetoskop anak

Stetoskop bayi

Stetoskop bayi

Stetoskop bayi

Toynbee diagnostic tube

Toynbee diagnostic tube

Toynbee diagnostic tube

Infant radiant warmer

Infant radiant warmer

Inkubator infant

Inkubator infant

Phototherapy unit

Phototherapy unit

Infusion pump

Infusion pump

Syringe Pump
Syringe Pump

Examination light / Examination lamp / Lampu periksa /


Hanging lamp
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile

Baby Suction Pump

Baby Suction Pump

Bed-side Monitor/Bed-patient monitor/Patient monitor

Bed-side Monitor/Bed-patient monitor/Patient monitor

Stetoskop Infant

Stetoskop Infant

Timbangan bayi

Timbangan bayi

Termometer rectal

Termometer rectal

Termometer axial

Termometer axial

Sudip/penekan lidah/Tongue depressor

Sudip/penekan lidah/Tongue depressor

Resusitator bayi/neonatus

Resusitator bayi/neonatus

Meja Periksa / Tempat tidur periksa / Examination Table


Meja Periksa / Tempat tidur periksa / Examination Table

Meja Periksa / Tempat tidur periksa / Examination Table

Reflex hammer/Palu pengukur reflex

Reflex hammer/Palu pengukur reflex

Intubation set

Intubation set

Tensimeter

Tensimeter

Cardiotocograph/CTG
Doppler
ECG/EKG/Electrocardiograph 3 CH
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Stetoskop/Stetoskop Dewasa
Bed patient electric
Bed patient
Termometer digital
Timbangan dewasa;
Tensimeter

Lemari Peralatan

Lemari Peralatan

Sink / wastafel / bak cuci

Oximeter / pulse oximeter / Oksigen Saturasi

Stetoskop/Stetoskop Dewasa

Stetoskop/Stetoskop Dewasa
Stetoskop/Stetoskop Dewasa

Stetoskop/Stetoskop Dewasa

Aspirator/Vacuum/Suction pump portable

Aspirator/Vacuum/Suction pump portable

Aspirator/Vacuum/Suction pump portable

Aspirator/Vacuum/Suction pump portable

Tensimeter

Stretcher/Brankar

Stretcher/Brankar

Bed-side Monitor/Bed-patient monitor/Patient monitor

Tiang infus

Tiang infus

Tiang infus

Timbangan dewasa;

Sumber oksigen dengan pengatur aliran (ukuran s/d 10 L/m)

Suction pump/Pompa vakum /Vacuum-powered body fluid


suction apparatus; Suction Pump Mobile

Komputer dan Printer

Manual patient transfer device

Timbangan bayi

Baju pasien

Baju pasien

Baju pasien
Baju pasien

Baju pasien

Baju pasien

Stetoskop anak

Sink / wastafel / bak cuci

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Kursi roda

Papan Tulis Putih

Jam/timer

Termometer digital

Termometer digital
Bed-side Monitor/Bed-patient monitor/Patient monitor

Emergency Trolley / Resuscitation Crash Cart

Infant radiant warmer

Infusion pump

Laringoskop

Laringoskop

Stretcher/Brankar

Aspirator/Vacuum/Suction pump portable

Magill forcep

Syringe Pump

Tiang infus

Tiang infus

Tiang infus

Tiang infus

Timbangan bayi

Pressure regulator

Pressure regulator

Pressure regulator

Tabung Oksigen

Defibrilator
Blanket warmer/Hipotermia unit

Strabismus diagnostik set

Strabismus diagnostik set

Bedah retraktif set

Bedah retraktif set

Autorefraktometer

Autorefraktometer

Bed-side Monitor/Bed-patient monitor/Patient monitor

Bed-side Monitor/Bed-patient monitor/Patient monitor

Bed-side Monitor/Bed-patient monitor/Patient monitor

Bed-side Monitor/Bed-patient monitor/Patient monitor

Opthalmoscope direk

Opthalmoscope direk

Bleharostat bayi

Bleharostat bayi

Dakriosistorhinostomi (DCR) set

Dakriosistorhinostomi (DCR) set

Chart Projector

Chart Projector

Cryosurgical unit and accessories

Cryosurgical unit and accessories


ESU/Electrosurgical Unit

ESU/Electrosurgical Unit

X-Ray Film Viewer

X-Ray Film Viewer

X-Ray Film Viewer

X-Ray Film Viewer

Katarak dan Bedah Refraktif

Katarak dan Bedah Refraktif

Hertel Oftalmometer

Hertel Oftalmometer

Ultrasonic Surgical Aspirator System

Ultrasonic Surgical Aspirator System

Opthalmoscope indirek

Opthalmoscope indirek

Keratoplasti

Keratoplasti

Operating headlamp

Operating headlamp

Lensmeter / Lensometer

Lensmeter / Lensometer

Major Surgery Instrument Set utk abdomen Dewasa

Major Surgery Instrument Set utk abdomen Dewasa


Major Surgery Instrument Set utk abdomen Dewasa

Major Surgery Instrument Set utk abdomen pediatric

Major Surgery Instrument Set utk abdomen pediatric

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Mikroskop operasi

Mikroskop operasi

Lampu operasi (Ceyling Type)

Lampu operasi (Ceyling Type)

Lampu operasi (Ceyling Type)

Lampu Operasi Bergerak/Operating Lamp Mobile

Lampu Operasi Bergerak/Operating Lamp Mobile

Operating table, electric


Operating table, electric

Operating table, electric

Operating table, Manual

Operating table, Manual

Sectio Caesarian set

Sectio Caesarian set

Sectio Caesarian set

Sectio Caesarian set

Suction pump/Pompa vakum /Vacuum-powered body fluid


suction apparatus; Suction Pump Mobile
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile

Mesin Anestesi ventilator

Mesin Anestesi ventilator

Microsurgical instrument

Microsurgical instrument

Monitor for laparoscopy

Monitor for laparoscopy

Minimal invasive surgery set

Minimal invasive surgery set

Okuloplasti set

Okuloplasti set
Okuloplasti set

Opthalmic refractometer

Opthalmic refractometer

Ophthalmic trial lens set

Ophthalmic trial lens set

Peralatan Adneksa dan orbita sederhana

Peralatan Adneksa dan orbita sederhana

Peralatan Diagnostik Retina

Peralatan Diagnostik Retina

Slit Lamp

Slit Lamp

Streak retinoskopi

Streak retinoskopi

Tonopen

Tonopen

Bingkai ujicoba trial lens (trial frame)

Bingkai ujicoba trial lens (trial frame)

UV Sterilizer

UV Sterilizer

Vitrectomy unit

Vitrectomy unit

Syringe Pump
Syringe Pump

Syringe Pump

Laparoscopy

Laparoscopy

Fakoemulsifikasi Unit

Fakoemulsifikasi Unit

Blanket warmer/Hipotermia unit

Blanket warmer/Hipotermia unit

Glaukoma set

Glaukoma set

Infusion pump

Infusion pump

Infusion pump

Infusion pump

Lateral set

Lateral set

Set Fako-Emulsifikasi

Set Fako-Emulsifikasi

Mastektomi set

Mastektomi set

Boiling water sterilizer

Dorongan Tabung Oksigen dengan Tali Pengaman


Dorongan Tabung Oksigen dengan Tali Pengaman

Elektrode cable/Kabel elektroda

Utility Trolley

Jam/timer

Cryophthalmic unit

Cryophthalmic unit

Printer video

Printer video
Major Surgery Instrument Set utk kepala (Dewasa dan
pediatric)
Major Surgery Instrument Set utk kepala (Dewasa dan
pediatric)
YAG Laser Set
YAG Laser Set
Visual Evoked Potential (VEP)
Visual Evoked Potential (VEP)
USG untuk regional anastesi dan pemasangan CVP
USG untuk regional anastesi dan pemasangan CVP
Urologi instrumen set
Urologi instrumen set
Simple Vitrioretinal Surgery
Simple Vitrioretinal Surgery
Set Transplantasi Tembus Kornea
Set Transplantasi Tembus Kornea
Preferential looking
Preferential looking
Peralatan Segmen Anterior
Peralatan Segmen Anterior
Peralatan Bedah Segmen Posterior
Peralatan Bedah Segmen Posterior
Orbitotomy lateral set
Orbitotomy lateral set
Major Surgery Instrument Set utk vaskuler
Major Surgery Instrument Set utk vaskuler
Major Surgery Instrument Set utk urologi pediatric
Major Surgery Instrument Set utk urologi pediatric
Major Surgery Instrument Set utk urologi pediatric
Major Surgery Instrument Set utk urologi Dewasa
Major Surgery Instrument Set utk urologi Dewasa

Major Surgery Instrument Set utk thorak dan cardiac Dewasa

Major Surgery Instrument Set utk thorak dan cardiac Dewasa

Major Surgery Instrument Set utk thorak dan cardiac Baby

Major Surgery Instrument Set utk thorak dan cardiac Baby

Major Surgery Instrument Set utk leher (Dewasa dan pediatric)

Major Surgery Instrument Set utk leher (Dewasa dan pediatric)

Laser Fotocoagulasi Retina Set


Laser Fotocoagulasi Retina Set
Laser Fotocoagulasi Glaukoma Set
Laser Fotocoagulasi Glaukoma Set
Video laringoscope set
Video laringoscope set
Endolaser unit
Endolaser unit
Embriotomi set
Embriotomi set
Elektroretinogram (ERG)
Elektroretinogram (ERG)
Arthroscope
Arthroscope
Major Surgery Instrument Set utk bedah plastik
Major Surgery Instrument Set utk bedah plastik

Komputer dan Printer

Meja setting

Televisi dan Antena

Lemari Peralatan

Papan Tulis Putih

Jam/timer
Medical washer-disinfector

Infant radiant warmer

Baby Suction Pump

NeoPAP

Resusitator bayi/neonatus

Medical washer-disinfector

Sink / wastafel / bak cuci

Sink / wastafel / bak cuci

Waskom

Waskom

Waskom

Waskom

Bak penampung air

Bak penampung air

Bak penampung air

Bak penampung air

Bak penampung air

Bak penampung air

Meja setting

Meja setting
Medical washer-disinfector

Alat pemanas / warmer

Komputer dan Printer

Meja setting

Lemari Peralatan

Komputer dan Printer

Lemari obat kaca

Lemari obat kaca

Thermometer Kulkas

Lemari Es

Papan Tulis Putih

Stretcher/Brankar

Stretcher/Brankar

Suction pump/Pompa vakum /Vacuum-powered body fluid


suction apparatus; Suction Pump Mobile

Lemari Steril

Gunting tali pusat

Gunting tali pusat

Gunting tali pusat


Gunting tali pusat

Gunting tali pusat

Bronchoscope and accessories


Colonoscopy
Emergency Trolley / Resuscitation Crash Cart
Endoscope washer
Endoscopic electrosurgical unit and accessories
Endoskopik video monitor
Gastroscopy
Hospital Endoscope Cabinet
Lightsource for endoscopy
Bed-side Monitor/Bed-patient monitor/Patient monitor
Mesin Anestesi ventilator
Lampu operasi (Ceyling Type)
Lampu Operasi Bergerak/Operating Lamp Mobile
Oximeter / pulse oximeter / Oksigen Saturasi
Rectosigmoidoscopy
Aspirator/Vacuum/Suction pump portable
Video for endoscopy
Tensimeter

Bed-side Monitor/Bed-patient monitor/Patient monitor

Bed-side Monitor/Bed-patient monitor/Patient monitor

Bed-side Monitor/Bed-patient monitor/Patient monitor

Bed-side Monitor/Bed-patient monitor/Patient monitor

Defibrilator

Defibrilator
Defibrilator
Defibrilator

ECG/EKG/Electrocardiograph

ECG/EKG/Electrocardiograph
ECG/EKG/Electrocardiograph

ECG/EKG/Electrocardiograph

Emergency Trolley / Resuscitation Crash Cart

Emergency Trolley / Resuscitation Crash Cart

Emergency Trolley / Resuscitation Crash Cart

Emergency Trolley / Resuscitation Crash Cart

ICU Bed Electric

ICU Bed Electric

ICU Bed Electric

ICU Bed Electric

Infusion pump

Infusion pump

Infusion pump

Infusion pump

Infusion pump

Examination light / Examination lamp / Lampu periksa /


Hanging lamp
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Examination light / Examination lamp / Lampu periksa /
Hanging lamp

Nebulizer

Nebulizer
Nebulizer

Nebulizer

Oxygen Concentrator / Portable Oxygen Generator.

Oxygen Concentrator / Portable Oxygen Generator.

Oxygen Concentrator / Portable Oxygen Generator.

Oxygen Concentrator / Portable Oxygen Generator.

Suction pump/Pompa vakum /Vacuum-powered body fluid


suction apparatus; Suction Pump Mobile
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile

Syringe Pump

Syringe Pump

Syringe Pump

Syringe Pump

Syringe Pump

Ventilator

Ventilator

Ventilator

Ventilator

Tensimeter

Tensimeter
Tensimeter

Tensimeter

Bed-side Monitor/Bed-patient monitor/Patient monitor


ICU Bed Electric
Infusion pump
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Nebulizer
Oxygen Concentrator / Portable Oxygen Generator.
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile
Syringe Pump
Tensimeter

Cardiotocograph/CTG

Doppler

ECG/EKG/Electrocardiograph

Examination light / Examination lamp / Lampu periksa /


Hanging lamp

Stetoskop/Stetoskop Dewasa

Bed patient

Tensimeter

Timbangan dewasa;

Termometer digital

Antidecubitus Matras
Antidecubitus Matras

Bed-side Monitor/Bed-patient monitor/Patient monitor

ECG/EKG/Electrocardiograph

Emergency Trolley / Resuscitation Crash Cart

X-Ray Film Viewer

Bed patient

Bed patient

Bed patient

Bed patient

Infusion pump

Kursi roda

Meja Mayo / Meja instrumen / Intrumen table

Nebulizer

Stretcher/Brankar

Stetoskop/Stetoskop Dewasa

Aspirator/Vacuum/Suction pump portable

Tensimeter

Termometer digital

Timbangan dewasa;

Alat partus set


Alat partus set

Alat partus set

Alat partus set

Bed-side Monitor/Bed-patient monitor/Patient monitor

Curretage instrument set

Curretage instrument set

Curretage instrument set

Emergency Trolley / Resuscitation Crash Cart

Hecting set

Infant radiant warmer

Gynecological Bed/Obstetric table and accessories

Gynecological Bed/Obstetric table and accessories

Gynecological Bed/Obstetric table and accessories

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Meja Mayo / Meja instrumen / Intrumen table

Lampu Operasi Bergerak/Operating Lamp Mobile

Alat pemecah selaput ketuban atau 1/2 kocher

Alat pemecah selaput ketuban atau 1/2 kocher

Alat pemecah selaput ketuban atau 1/2 kocher

Alat pemecah selaput ketuban atau 1/2 kocher


Resusitator Dewasa

Sendok kuret

Sim Utarine Currete Blunt

Sonde Uterus (Uterine Sound)

Stetoskop/Stetoskop Dewasa

Vacum Ekstraktor/Fetal vacuum extractor

Vacum Ekstraktor/Fetal vacuum extractor

Aspirator/Vacuum/Suction pump portable

Tampon tang

Tampon tang

Tampon tang

Tensimeter

Timbangan bayi

Defibrilator

Embriotomi set

Obstetric forceps/Forceps obstetrik

Obstetric forceps/Forceps obstetrik

Obstetric-gynecologic specialized manual instrument

Minor Surgery Set

Sterilisator Portable

Syringe Pump

Infusion pump
Infusion pump

Autotransfusion apparatus

Doppler

Examination light / Examination lamp / Lampu periksa /


Hanging lamp
Examination light / Examination lamp / Lampu periksa /
Hanging lamp
Inkubator infant Tansport

Bed-side Monitor/Bed-patient monitor/Patient monitor

Cardiotocograph/CTG

Doppler

ECG/EKG/Electrocardiograph

Examination light / Examination lamp / Lampu periksa /


Hanging lamp

Stetoskop/Stetoskop Dewasa

Bed patient

Tensimeter

Timbangan dewasa;

USG 3D

Infusion pump

Syringe Pump

Termometer digital

USG 4D

ECG/EKG/Electrocardiograph
Bed-side Monitor/Bed-patient monitor/Patient monitor

Examination light / Examination lamp / Lampu periksa /


Hanging lamp

Oxygen Concentrator / Portable Oxygen Generator.

Stetoskop/Stetoskop Dewasa

Bed patient

Tensimeter

Termometer digital

Timbangan dewasa;

Infusion pump

Syringe Pump

Resusitator bayi/neonatus

Baby Suction Pump

Inkubator infant

Infant radiant warmer

Oximeter / pulse oximeter / Oksigen Saturasi

Stetoskop bayi

Tensimeter

Tempat tidur bayi

Timbangan bayi

Inkubator infant Tansport


Bed-side Monitor/Bed-patient monitor/Patient monitor
Central Monitor
Defibrilator
ECG/EKG/Electrocardiograph 6 CH
X-Ray Film Viewer
ICU Bed Electric
Infusion pump
Infusion warmer
Matras decubitus
Oximeter / pulse oximeter / Oksigen Saturasi
Resusitator Dewasa
Stetoskop/Stetoskop Dewasa
Suction pump/Pompa vakum /Vacuum-powered body fluid
suction apparatus; Suction Pump Mobile
Syringe Pump
Ventilator
Tensimeter
No. Seri - Type

Pelayanan Medik dan Keperawatan/Pelayanan Klinik RS

S / N : 301018001
Type: -unknown-
S / N : 31018002
Type: -unknown-
S / N : 301018002
Type: -unknown-
S / N : 31018003
Type: -unknown-
S / N : 301018003
Type: -unknown-
S / N : 301018003
Type: -unknown-
S / N : 311011802
Type: -unknown-
S / N : 301018005
Type: -unknown-
S / N : 301018009
Type: -unknown-
S / N : 301018007
Type: -unknown-
S / N : 301018IPD-001
Type: -unknown-
S / N : 301018IPD-002
Type: -unknown-
S / N : 301018IPD-004
Type: -unknown-
S / N : 301018IPD-005
Type: -unknown-

S / N : 301018012
Type: -unknown-
S / N : 301018013
Type: -unknown-
S / N : 3010180014
Type: -unknown-
S / N : 301018015
Type: -unknown-
S / N : 301018015
Type: -unknown-
S / N : 301018016
Type: -unknown-
S / N : 301018018
Type: -unknown-
S / N : 301018019
Type: -unknown-
S / N : 301018020
Type: -unknown-
S / N : 301018021
Type: -unknown-
S / N : 301018023
Type: -unknown-
S / N : 301018ANAK-001
Type: -unknown-
S / N : 301018ANAK-002
Type: -unknown-
S / N : 301018ANAK-004
Type: -unknown-
S / N : 301018ANAK-006
Type: -unknown-

S / N : 311011804
Type: -unknown-
S / N : 311011803
Type: LTS 389
S / N : 30102018010
Type: -unknown-
S / N : 301018024
Type: -unknown-
S / N : 301018026
Type: -unknown-
S / N : 301018051
Type: -unknown-
S / N : 301018052
Type: -unknown-
S / N : 3010018053
Type: -unknown-
S / N : 301018POLI-007
Type: -unknown-
S / N : 301018POLI-001
Type: -unknown-
S / N : 301018POLI-002
Type: -unknown-
S / N : 301018POLI-004
Type: -unknown-
S / N : 31122018_1_OK
Type: 305
S / N : 301018POLI-005
Type: -unknown-
S / N : E1806007
Type: -unknown-
S / N : E1806005
Type: -unknown-

S / N : 301018027
Type: -unknown-
-
S / N : 301018028
Type: -unknown-
-
S / N : 301018029
Type: -unknown-
S / N : 301018030
Type: -unknown-
S / N : 301018031
Type: -unknown-
S / N : 301018032
Type: -unknown-
S / N : 2019RJ101
Type: -unknown-
S / N : 2019RJ100
Type: -unknown-
S / N : 301018033
Type: -unknown-
-
S / N : 301018034
Type: -unknown-
-
S / N : 301018035
Type: -unknown-
-

S / N : 301018036
Type: -unknown-
S / N : 2019RJ105
Type: -unknown-
S / N : 301018037
Type: -unknown-
S / N : 2019RJ106
Type: -unknown-
S / N : 301018038
Type: -unknown-
-
-
S / N : 301018039
Type: -unknown-
S / N : 301018040
Type: -unknown-
S / N : 301018041
Type: -unknown-
S / N : 301018042
Type: -unknown-
S / N : 2019RJ102
Type: -unknown-
S / N : 10012019RJ-02
Type: -unknown-
S / N : 301018043
Type: -unknown-
S / N : 2019RJ104
Type: -unknown-
S / N : 301018044
Type: -unknown-
-
S / N : 301018045
Type: -unknown-
S / N : 2019RJ103
Type: -unknown-
S / N : 301018046
Type: -unknown-
S / N : 301018POLI-009
Type: -unknown-
S / N : 301018048
Type: -unknown-
S / N : 2019RJ-101
Type: -unknown-
S / N : 301018POLI-010
Type: -unknown-
-
S / N : 02012019100-OBG
Type: UF-4100
S / N : 99A155585
Type: UZRI-510A
-
-
-
-

S / N : 301018054
Type: -unknown-
S / N : 301018055
Type: -unknown-
S / N : 301018056
Type: -unknown-
S / N : 301018057
Type: -unknown-
S / N : 301018058
Type: -unknown-
S / N : 301018059
Type: -unknown-
S / N : 301018060
Type: -unknown-

-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-

-
-
-
-
-
-

-
-

S/N:-
Type: Adult, Baby & Neonate / 74 cm
S/N:-
Type: TN996
S/N:-
Type: TN997
S / N : 301018063
Type: -unknown-
S / N : 301018065
Type: -unknown-
S / N : 301018066
Type: -unknown-
S / N : 301018068
Type: -unknown-
S / N : 301018069
Type: -unknown-
S / N : 2019IGD001
Type: -unknown-
S / N : 2019IGD002
Type: -unknown-
S / N : 71144033272
Type: M-110
S/N:-
Type: -
S/N:-
Type: LTS-389
S/N:-
Type: -
S / N : 07A077A0638
Type: AE-650-044
S / N : 30902141
Type: CE0124
S/N:-
Type: -
S / N : 312505
Type: MS-710
S / N : 301018070
Type: -unknown-
S / N : 301018071
Type: -unknown-
S / N : 301019072
Type: -unknown-
S/N:-
Type: -
S / N : 301018073
Type: -unknown-
S / N : 301018075
Type: -unknown-
S / N : 301018077
Type: -unknown-

S / N : 02012019100-IGD
Type: unknown

S / N : 301018078
Type: -unknown-
S / N : 301018079
Type: -unknown-
S / N : 301018080
Type: -unknown-
S / N : 301018082
Type: -unknown-
S / N : 301018083
Type: -unknown-
S / N : 301018084
Type: -unknown-
S / N : 301018085
Type: -unknown-
S / N : 2019IGD003
Type: -unknown-
S / N : 301018086
Type: -unknown-
S / N : 301018087
Type: -unknown-
S / N : 301018088
Type: -unknown-
S / N : 301018089
Type: -unknown-
S / N : 301018090
Type: -unknown-

S / N : 02012019100-IGD
Type: -unknown-

S / N : 02012019101-IGD
Type: -unknown-

S / N : 02012019102-IGD
Type: -unknown-

S / N : others
Type: -unknown-

S / N : 11012019IGD-3
Type: -unknown-
S / N : 301018095
Type: -unknown-
S / N : 2019IGD004
Type: -unknown-
S / N : LTS389-SE20108
Type: -unknown-
S / N : 2019IGD005
Type: -unknown-

S / N : 301018097
Type: -unknown-
S / N : 301018IGD-001
Type: -unknown-
S / N : 301018IGD-003
Type: -unknown-
S / N : 301018IGD-005
Type: -unknown-
S / N : 301018IGD-007
Type: -unknown-
S / N : 301018IGD-008
Type: -unknown-
S / N : 301018IGD-009
Type: -unknown-

S / N : others
Type: -unknown-

S / N : 02012019103-IGD
Type: -unknown-

No. Seri - Type

Pelayanan Medik dan Keperawatan/Pelayanan Klinik RS

S / N : 301018RI01
Type: -unknown-
S / N : 301018RI02
Type: -unknown-
S / N : 2019RI047
Type: -unknown-
S / N : 301018RI03
Type: -unknown-
S / N : 2019RI051
Type: -unknown-
-
S / N : 301018RI05
Type: -unknown-
S / N : 2019RI049
Type: -unknown-
S / N : 2019RI050
Type: -unknown-
S / N : 301018RI04
Type: -unknown-
S / N : 2019RI001
Type: -unknown-
S / N : 17012019108RI
Type: -unknown-
S / N : 301018RI06
Type: -unknown-
S / N : 2019RI047
Type: -unknown-
S / N : 2019RI048
Type: -unknown-
S / N : 301018RI08
Type: -unknown-
S / N : 2019RI002
Type: -unknown-
S / N : 2019RI003
Type: -unknown-
S / N : 301018RI09
Type: -unknown-
S / N : 2019RI005
Type: -unknown-
S / N : 2019RI046
Type: -unknown-
S / N : 301018RI10
Type: -unknown-
S / N : 301018RI11
Type: -unknown-
S / N : 301018RI12
Type: -unknown-
S / N : 301018RI13
Type: -unknown-
S / N : 2019RI0040
Type: -unknown-
S / N : 2019RI041
Type: -unknown-
S / N : 301018RI14
Type: -unknown-
S / N : 2019RI007
Type: -unknown-
S / N : 2019RI042
Type: -unknown-
S / N : 301018RI15
Type: -unknown-
S / N : 2019RI006
Type: -unknown-
S / N : 2019RI043
Type: -unknown-
S / N : 301018RI18
Type: -unknown-
S / N : 2019RI0044
Type: -unknown-
S / N : 2019RI045
Type: -unknown-
S / N : 2019RI008
Type: -unknown-
S / N : 17012019109RI
Type: -unknown-
S / N : 17012019110RI
Type: -unknown-

S / N : 2019RI009
Type: -unknown-
S / N : 2019RI010
Type: -unknown-
S / N : 2019RI011
Type: -unknown-
S / N : 2019RI012
Type: -unknown-
S / N : 2019RI013
Type: -unknown-
S / N : 2019RI014
Type: -unknown-
S / N : 2019RI015
Type: -unknown-
S / N : 2019RI016
Type: -unknown-
S / N : 2019RI017
Type: -unknown-
S / N : 2019RI018
Type: -unknown-
S / N : 2019RI019
Type: -unknown-
S / N : 2019RI053
Type: -unknown-
S / N : 2019RI020
Type: -unknown-
S / N : 2019RI053
Type: -unknown-
S / N : 2019RI021
Type: -unknown-
S / N : 2019RI022
Type: -unknown-
S / N : 2019RI023
Type: -unknown-
S / N : 17012019111RI
Type: -unknown-
S / N : 2019RI024
Type: -unknown-
S / N : 2019RI054
Type: -unknown-
S / N : 2019RI027
Type: -unknown-
S / N : 2019RI028
Type: -unknown-
S / N : 2019RI029
Type: -unknown-
S / N : 2019RI029
Type: -unknown-
S / N : 2019RI029
Type: -unknown-
S / N : 2019RI030
Type: -unknown-
S / N : 2019RI031
Type: -unknown-
S / N : 2019RI032
Type: -unknown-
S / N : 2019RI034
Type: -unknown-
-
S / N : 2019RI035
Type: -unknown-
S / N : 2019RI036
Type: -unknown-
S / N : 2019RI037
Type: -unknown-
S / N : 2019RI038
Type: -unknown-
S / N : 2019RI039
Type: -unknown-
S / N : 2019RI055
Type: -unknown-
S / N : 2019RI040
Type: -unknown-
S / N : 2019RI056
Type: -unknown-

-
-
-

-
-
-
-
-
-

S / N : 0405ok04
Type: -unknown-
S / N : 0405ok04
Type: -unknown-
S / N : 0504ok04
Type: -unknown-

S / N : 301018OK01
Type: -unknown-
S / N : 301018OK02
Type: -unknown-
S / N : 301018OK02
Type: -unknown-
S / N : 301018OK02
Type: -unknown-
S / N : 301018OK03
Type: -unknown-
S / N : 301018OK02
Type: -unknown-
S / N : 0205ok15
Type: -unknown-
S / N : 1512ok05
Type: -unknown-
S / N : 301018OK04
Type: -unknown-
S / N : 301018OK05
Type: BRANKAR
S / N : 301018OK05
Type: BRANKAR
S / N : AQ-96126981
Type: MEC1000
S / N : 060201OK04
Type: HHS 002
S / N : 1512OK05
Type: -unknown-
S / N : 1512OK05
Type: -unknown-
S / N : 0511OK06
Type: -unknown-
S / N : 1102OK05
Type: -unknown-
S / N : 2410OK18
Type: -unknown-
S / N : 1407ok18
Type: -unknown-
S / N : 0504Ok05
Type: -unknown-
S / N : 0512OK04
Type: -unknown-
S / N : 0504OK08
Type: -unknown-
S / N : 0504ok08
Type: -unknown-
S / N : 0504ok08
Type: -unknown-
S / N : 0504ok08
Type: -unknown-
S / N : 0504ok08
Type: -unknown-
S / N : 0108OK08
Type: -unknown-
S / N : 0201OK04
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok04
Type: -unknown-
S / N : 0512ok04
Type: -unknown-
S / N : 1207ok05
Type: -unknown-
S / N : 1207ok05
Type: -unknown-
S / N : 301018OK07
Type: -unknown-
S / N : 301018OK10
Type: -unknown-
S / N : 301018OK11
Type: -unknown-
S / N : 301018OK12
Type: -unknown-
S / N : 301018OK13
Type: -unknown-
S / N : 101018OK18
Type: Fibre optic laryngoscope
S / N : 301018OK14
Type: -unknown-
S / N : 301018OK15
Type: -unknown-
S / N : 301018OK16
Type: -unknown-
S / N : 131018OK18
Type: -unknown-
S / N : 2910OK04
Type: STANDAR INFUS
S / N : 2910OK04
Type: STANDAR INFUS
S / N : 2910OK04
Type: STANDAR INFUS
S / N : 060201/ok04
Type: -unknown-
S / N : 1311OK05
Type: TIMBANGAN BAYI
S / N : 1510OK2005
Type: REGULATOR
S / N : 1510OK04
Type: REGULATOR
S / N : 1510OK04
Type: REGULATOR
S / N : 0305OK05
Type: -unknown-
S / N : 71144033272
Type: M-110
S / N : 14012019-OK-100
Type: -unknown-

S / N : 15012019OK-48
Type: -unknown-
S / N : 14012019-OK-101
Type: -unknown-
S / N : 15012019OK-49
Type: -unknown-
S / N : 20041401-OK-103
Type: -unknown-
S / N : 15012019OK-1
Type: -unknown-
S / N : 20191401-OK-102
Type: -unknown-
S / N : AQ-51B4294
Type: MEC-1000
S / N : AQ-96126981
Type: MEC1000
S / N : AQ-95127014
Type: MEC-1000
S / N : AQ-96126928
Type: MEC-1000
S / N : 15012019OK-50
Type: -unknown-
S / N : 15012019OK-51
Type: -unknown-
S / N : 0303OK05
Type: -unknown-
S / N : 15012019OK-52
Type: -unknown-
S / N : 0303OK05
Type: -unknown-
S / N : 15012019OK-2
Type: -unknown-
S / N : 1205ok05
Type: -unknown-
S / N : 0212ok05
Type: -unknown-
S / N : 0305ok05
Type: -unknown-
-
S / N : 301018OK22
Type: -unknown-
S / N : 1146011-k-10152
Type: Elektrom 621
S / N : 301018OK23
Type: -unknown-
S / N : 31122018111-OK
Type: -unknown-
S / N : 31122018112-OK
Type: -unknown-
S / N : 0910OK18
Type: X-RAY FILM VIEWER
S / N : 301018OK26
Type: -unknown-
S / N : 15012019OK-3
Type: -unknown-
S / N : 15012019OK-4
Type: -unknown-
S / N : 15012019OK-5
Type: -unknown-
S / N : 2004ok04
Type: -unknown-
S / N : 1205ok05
Type: -unknown-
S / N : 15012019OK-6
Type: -unknown-
S / N : 15012019OK-6
Type: -unknown-
S / N : 0201ok15
Type: -unknown-
S / N : 15012019OK-7
Type: -unknown-
S / N : 301018OK27
Type: -unknown-
S / N : 15012019OK-8
Type: -unknown-
S / N : 1203ok05
Type: -unknown-
-
S / N : 301018OK29
Type: -unknown-
S / N : 15012019OK-8
Type: -unknown-
S / N : 301018OK30
Type: -unknown-
S / N : 15012019OK-9
Type: -unknown-
S / N : 301018OK33
Type: -unknown-
S / N : 31122018103-OK
Type: -unknown-
S / N : 31122018104-OK
Type: -unknown-
S / N : 0512ok08
Type: -unknown-
S / N : 31122018104-OK
Type: -unknown-
S / N : 31122015104-OK
Type: -unknown-
S / N : 31122018104-OK
Type: -unknown-
S / N : 31122015104-OK
Type: -unknown-
S / N : 31122008104-OK
Type: -unknown-
S / N : 31122008104-OK
Type: -unknown-
S / N : 30122008104-OK
Type: -unknown-
S / N : 301018OK34
Type: -unknown-
S / N : 15012019OK-10
Type: -unknown-
S / N : 301018OK35
Type: -unknown-
S / N : K1-22000016
Type: -unknown-
S / N : 31122018106-OK
Type: -unknown-
S / N : 301018OK36
Type: -unknown-
S / N : 15012019OK-11
Type: -unknown-
S / N : 301018OK37
Type: -unknown-
S / N : 31122018107-OK
Type: HY BASE 3000
S / N : 301018OK38
Type: -unknown-
S / N : 31122012108-OK
Type: -unknown-
S / N : 301018OK39
Type: -unknown-
S / N : 31122018109
Type: -unknown-
S / N : 31122018110
Type: -unknown-
S / N : 3112201811-OK
Type: -unknown-
S / N : 301018OK40
Type: -unknown-
S / N : 31122018108-OK
Type: -unknown-
S / N : B13.18.055
Type: -unknown-
S / N : 2410OK18
Type: SUCTION
S / N : DW64004724
Type: Wato EX-20
S / N : 05060200
Type: SS 1200
S / N : 0102OK18
Type: -unknown-
S / N : 15012019OK-12
Type: -unknown-
S / N : 301018OK-002
Type: -unknown-
S / N : 15012019OK-12
Type: -unknown-
S / N : 301018OK-003
Type: -unknown-
S / N : 15012019OK-14
Type: -unknown-
S / N : 2003OK05
Type: -unknown-
S / N : 15012019OK-15
Type: -unknown-
S / N : 15012019OK-16
Type: -unknown-
S / N : 15012019OK-17
Type: -unknown-
S / N : 15012019OK-18
Type: -unknown-
S / N : 15012019OK-19
Type: -unknown-
S / N : 15012019OK-20
Type: -unknown-
S / N : 15012019OK-21
Type: -unknown-
S / N : 15012019OK-22
Type: -unknown-
S / N : 15012019OK-23
Type: -unknown-
S / N : 15012019OK-25
Type: -unknown-
S / N : 15012019OK-24
Type: -unknown-
S / N : 15012019OK-26
Type: -unknown-
S / N : 15012019OK-27
Type: -unknown-
S / N : 15012019OK-28
Type: -unknown-
S / N : 15012019OK-29
Type: -unknown-
S / N : 15012019OK-30
Type: -unknown-
S / N : 15012019OK-31
Type: -unknown-
S / N : 15012019OK-54
Type: -unknown-
S / N : 15012019OK-55
Type: -unknown-
S / N : 15012019OK-32
Type: -unknown-
S / N : 15012019OK-33
Type: -unknown-
S / N : 0505OK05
Type: TE 331
S / N : 15012019OK-35
Type: -unknown-
S / N : 20051401-OK-105
Type: -unknown-
S / N : 15012019OK-36
Type: -unknown-
S / N : 15012019OK-37
Type: -unknown-
S / N : 15012019OK-38
Type: -unknown-
S / N : 15012019OK-38
Type: -unknown-
S / N : 15012019OK-39
Type: -unknown-
S / N : 15012019OK-40
Type: -unknown-
S / N : 15012019OK-41
Type: -unknown-
S / N : 15012019OK-42
Type: -unknown-
S / N : 15012019OK-43
Type: -unknown-
S / N : 15012019OK-42
Type: -unknown-
S / N : 15012019OK-43
Type: -unknown-
S / N : 15012019OK-44
Type: -unknown-
S / N : 15012019OK-45
Type: -unknown-
S / N : 15012019OK-46
Type: -unknown-
S / N : 15012019OK-47
Type: -unknown-
S / N : 15012019OK-53
Type: -unknown-
S / N : 15012019OK-54
Type: -unknown-
S / N : 0212ok05
Type: -unknown-
S / N : 1212ok08
Type: -unknown-
S / N : 2015ok04
Type: -unknown-
S / N : 1205ok05
Type: -unknown-
S / N : 2105ok04
Type: -unknown-
S / N : 1205ok05
Type: -unknown-
-
S / N : 0312ok05
Type: -unknown-
-

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

S / N : 301018OK21
Type: -unknown-
S / N : 301018OK22
Type: -unknown-
S / N : 1212ok05
Type: -unknown-
S / N : 1212ok05
Type: -unknown-
S / N : 0512ok04
Type: -unknown-
S / N : 1205ok04
Type: -unknown-
S / N : others
Type: -unknown-
S / N : 0512ok08
Type: -unknown-
S / N : 0512OK08
Type: -unknown-
S / N : 0512ok17
Type: -unknown-
S / N : 0205ok05
Type: -unknown-

S / N : others
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 0512ok05
Type: -unknown-
S / N : 1205ok04
Type: -unknown-
S / N : 1205ok04
Type: -unknown-
S / N : 1205ok04
Type: -unknown-
S / N : 1205ok04
Type: -unknown-
S / N : 2012ok05
Type: -unknown-
S / N : 2012ok05
Type: -unknown-
S / N : 2012ok05
Type: -unknown-
S / N : 2012ok05
Type: -unknown-
S / N : 2012ok05
Type: -unknown-
S / N : 2012ok05
Type: -unknown-

S / N : 0504ok05
Type: -unknown-
S / N : 0504ok05
Type: -unknown-
S / N : others
Type: -unknown-
S / N : 0512ok05
Type: -unknown-

S / N : others
Type: -unknown-
S / N : others
Type: -unknown-

S / N : 0512ok05
Type: -unknown-

S / N : 0505ok17
Type: -unknown-
S / N : 0405OK17
Type: -unknown-
S / N : 0405OK17
Type: -unknown-
S / N : 0215ok17
Type: -unknown-
S / N : 0512ok17
Type: -unknown-
S / N : 1211ok18
Type: -unknown-

S / N : 131018OK20
Type: -unknown-
S / N : 20041401-OK-106
Type: -unknown-
S / N : 20181401-OK-106
Type: -unknown-

S / N : 0512ok04
Type: -unknown-
S / N : 2012ok08
Type: -unknown-
S / N : 2012ok08
Type: -unknown-
S / N : 2012ok08
Type: -unknown-
S / N : 2012ok08
Type: -unknown-

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

S / N : AQ-96127006
Type: mec-1000
S / N : AQ-96127021
Type: -unknown-
S / N : AQ-96126981
Type: -unknown-
S / N : AQ96127006
Type: MEC-1000 / 318mm(W) x 264mm(H) x 152mm(D)
S / N : 8463
Type: -unknown-
-
-
-
S / N : SCT09361596WA
Type: MEC-400
S / N : 16012019104-IRI
Type: -unknown-
S / N : 16012019105-IRI
Type: -unknown-
S / N : 16012019106-IRI
Type: -unknown-
S / N : 31122018100-IRI
Type: -unknown-
S / N : 16012019101-IRI
Type: -unknown-
S / N : 16012019102-IRI
Type: -unknown-
S / N : 16012019103-IRI
Type: -unknown-
S / N : 31122018101-IRI
Type: -unknown-
S / N : 31122018102-IRI
Type: -unknown-
S / N : 31122018103-IRI
Type: -unknown-
S / N : 31122018104-IRI
Type: -unknown-
S / N : 09040058
Type: TE-112
S / N : 09040071
Type: TE-112
S / N : 09040041
Type: TE-112
S / N : 09040042
Type: TE-112
S / N : 09030313
Type: TE-112
S / N : 31122018102-IRI
Type: AHA 001
S / N : 2007ICU007
Type: -unknown-
S / N : 2007ICU008
Type: -unknown-
S / N : 2007ICU011
Type: -unknown-
S / N : 20171114968UF
Type: NE-C28
S / N : 2007ICU009
Type: -unknown-
S / N : 2007ICU013
Type: -unknown-
S / N : 2007ICU015
Type: -unknown-
S / N : 1099A296495
Type: Companion 590i
S / N : 2017ICU010
Type: -unknown-
S / N : 2007ICU011
Type: -unknown-
S / N : 2007ICU012
Type: -unknown-
S / N : 31122018103-IRI
Type: -unknown-
S / N : 2007ICU001
Type: -unknown-
S / N : 2007ICU002
Type: -unknown-
S / N : 2007ICU003
Type: -unknown-
S / N : 09030024
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Type: TE-331
S / N : 9845
Type: Galileo
S / N : 9838
Type: Galileo
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Type: Inovation
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Type: Inovation
S / N : 31122018104-IRI
Type: -unknown-
S / N : 58739
Type: -unknown-
S / N : 2007ICU005
Type: -unknown-
S / N : 2007ICU006
Type: -unknown-

-
-
-

-
-

-
-

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Type: -unknown-

S / N : 201401029VK
Type: -unknown-
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S / N : 02012019100-VK
Type: MAC 400
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-
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S / N : 301018VK-013
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Type: -unknown-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-

No
1
2
3
Tahun
Merk - Distributor ASPAK
Pengadaan Operasioanal

X-Ray Film Viewer (M) 2004 2018 1

-unknown- (M) 2006 2019 1

-unknown- (M) 2004 2018 1

-unknown- (M) 2006 2019 1

-unknown- (M) 2004 2018 1

-unknown- (M) 2006 2019 1

Reister (M) 2010 2018 1

3M LITMANN Classic II S.E. Stethoscope (M) 2010 2019 1

-unknown- (M) 2012 2018 1

ONEMED Ultrasonic Fetal Doppler (M) 2008 2019 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2017 2018 1

RIESTER NOVA Sphygmomanometer (M) 2016 2018 1

RIESTER NOVA Sphygmomanometer (M) 2016 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2009 2018 1

-unknown- (M) 2010 2018 1


-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2014 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2013 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2004 2018 1

Lotus (M) 2004 2018 1

-unknown- (M) 2004 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2014 2018 1

RIESTER Ri-Integral Laryngoscope (M) 2014 2018 1

RIESTER Nova Presameter Stand Model (M) 2014 2018 1

-unknown- (M) 2015 2018 1


-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1

Unknown (M) 2015 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M)
2018 2018 1
SURGICAL GENERATOR

-unknown- (M) 2018 2018 1

-unknown- (M) 2012 2018 1

- - - 0

-unknown- (M) 2010 2018 1

- - - 0

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2012 2018 1

- - - 0

-unknown- (M) 2012 2018 1

- - - 0

-unknown- (M) 2015 2018 1


- - - 0

-unknown- (M) 2010 2018 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2017 2018 1

- - - 0
- - - 0

-unknown- (M) 2017 2018 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2015 2018 1

- - - 0

-unknown- (M) 2015 2018 1

-unknown- (M) 2018 2019 1

RIESTER Empire N - Stand Model (M) 2015 2018 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2015 2018 1


-unknown- (M) 2015 2018 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2017 2018 1

- - - 0
Fukuda Denshi (M)
2010 2019 1
Fukuda Denshi
Toshiba (M)
2012 2019 1
Toshiba
- - - 0
- - - 0
- - - 0
- - - 0

-unknown- (M) 2010 2018 1

-unknown- (M) 2004 2018 1

-unknown- (M) 2015 2018 1

RIESTER Stethoscope Duplex 2.0 Aluminium (M) 2012 2018 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1


RIESTER Stethoscope Duplex 2.0 Stainless Steel (M) 2010 2018 1

ONEMED (M) 2010 2018 1

CAMRI (M) 2010 2018 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1


METRAX (M) 2014 2018 1

- (M) 2010 2018 1

LOTUS (M) 2004 2018 1

HIENE GERMANY (M) 2004 2018 1

VENTALAIR MAX (M) 2004 2018 1

RIESTER (M) 2010 2018 1

- (M) 2008 2018 1

MANULIFE (M) 2006 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2015 2018 1

PARAMOUNT BED (M) 2008 2018 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2015 2018 1

3M LITTMAN Master Classic II Stethoscope (M) 2016 2018 1

unknown (M) 2012 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1


-unknown- (M) 2012 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2012 2018 1

RIESTER Stethoscope Duplex 2.0 Aluminium (M) 2015 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2012 2019 1

-unknown- (M) 2012 2019 1

-unknown- (M) 2012 2019 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1


-unknown- (M) 2010 2019 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2017 2018 1

RIESTER Stethoscope Duplex 2.0 Aluminium (M) 2017 2018 1

-unknown- (M) 2017 2018 1

RIESTER NOVA Sphygmomanometer (M) 2016 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2012 2019 1

Tahun
Merk - Distributor Berfungsi
Pengadaan Operasioanal

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2019 2019 1

- - - 0

-unknown- (M) 2010 2018 1


-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2018 1


-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1


-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

- - - 0

-unknown- (M) 2010 2019 1


-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2014 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2008 2019 1


-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2015 2018 1

Gea (M) 2008 2019 1

Gea (M) 2015 2019 1

Gammy (M) 2005 2019 1

-unknown- (M) 2017 2018 1

HILMAN HOSPITAL SUPPLY (M) 2005 2018 1

HILMAN HOSPITAL SUPPLY (M) 2005 2019 1

MINDRAY (M) 2006 2019 1

-unknown- (M) 2004 2019 1

HILMAN(HHS) (M) 2005 2019 1

HILMAN SS (M) 2005 2019 1

Camry (M) 2006 2019 1

Komatshu Seiki (M) 2005 2019 1

gea (M) 2018 2019 1

lenovo (M) 2018 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1


-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

Riester (M) 2008 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

terumo (M) 2005 2019 1

terumo (M) 2005 2019 1


-unknown- (M) 2012 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2012 2018 1

WELCHALLYN (M) 2012 2018 1

RIESTER Ri-Integral Laryngoscope (M)


2018 2019 1
PT. LABORA MANDIRI INDO PRATAMA

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

GEA (M) 2005 2019 1

COMWELD GROUP MEDICAL (M) 2004 2019 1

COMWELD GROUP MEDICAL (M) 2004 2019 1

COMWELD GROUP MEDICAL (M) 2004 2019 1

-unknown- (M) 2005 2019 1

Metrax (M)
2014 2019 1
Metrax
-unknown- (M) 2019 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2004 2019 1

MINDRAY Patient Monitor (M)


2012 2018 1
MINDRAY
MINDRAY Patient Monitor (M)
2012 2018 1
MINDRAY
MINDRAY Patient Monitor (M)
2012 2018 1
MINDRAY
MINDRAY Patient Monitoring System (M)
2012 2018 1
MINDRAY

-unknown- (M) 2016 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M)
2005 2019 1
PT Panca Niaga

-unknown- (M) 2016 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

- - - 0
-unknown- (M) 2016 2018 1

Berchtold (M)
2008 2018 1
BERCHTOLD

DR.TAJIMA (M) 2012 2018 1

DR.TAJIMA (M) 2012 2018 1

DR.TAJIMA (M) 2012 2018 1

FLMPLENT (M) 2018 2019 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2016 2019 1

SVR (M) 2016 2019 1

surgical (M) 2004 2019 1

Berthod (M) 2005 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

BVI Beaver Optimum Safety Sideport Knife Straight (M) 2015 2019 1

BVI (M) 2015 2019 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2006 2019 1

-unknown- (M) 2005 2019 1

- - - 0

-unknown- (M) 2012 2018 1

-unknown- (M) 2015 2019 1


-unknown- (M) 2015 2019 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M)
2010 2018 1
unknown
-unknown- (M)
2010 2018 1
unknown

-unknown- (M) 2008 2019 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2010 2018 1

MINDRAY LED Surgical Light (M)


2014 2018 1
MINDRAY
GEA (M)
2010 2018 1
GEA

-unknown- (M) 2010 2018 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2010 2018 1


-unknown- (M) 2010 2018 1

MINDRAY (M)
2012 2018 1
MNDRAY

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

GEA (M)
2012 2018 1
GEA

GEA (M) 2018 2018 1

GEA (M) 2018 2019 1

MINDRAY WATO EX-20 Anesthesia Machine (M)


2010 2018 1
MINDRAY
Lotus (M)
2008 2018 1
LOTUS

-unknown- (M) 2018 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2009 2018 1

AUSCULAP (M) 2009 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1


-unknown- (M) 2005 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2016 2019 1

-unknown- (M) 2016 2019 1

Terumo (M) 2005 2019 1


Terumo (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

AUSCULAP (M) 2009 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2015 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2008 2019 1


-unknown- (M) 2008 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2005 2019 1

- - - 0

-unknown- (M) 2005 2019 1

- - - 0

- - - 0

- - - 0

- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0

- - - 0

- - - 0

- - - 0

- - - 0

- - - 0

- - - 0

- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0

-unknown- (M) 2016 2018 1

-unknown- (M) 2014 2018 1

LG (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1


-unknown- (M) 2018 2018 1

Gea (M) 2008 2019 1

sseni (M) 2008 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2018 2018 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2005 2019 1


-unknown- (M) 2018 2018 1

-unknown- (M) 2005 2019 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2005 2019 1

LG (M) 2017 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2017 2019 1

-unknown- (M) 2017 2019 1

Sharp (M) 2017 2019 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2012 2018 1

HHS (M) 2004 2019 1

-unknown- (M) 2018 2019 1

-unknown- (M) 2004 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1


-unknown- (M) 2008 2019 1

-unknown- (M) 2008 2019 1

- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -

mindray (M)
2012 2018 1
MINDRAY

MINDRAY Patient Monitor (M) 2012 2018 1

MINDRAY Patient Monitor (M)


2012 2018 1
Mindray
MINDRAY MEC-1000 Patient Monitor (M)
2007 2019 1
PT. MINDRAY MEDICAL INDONESIA
GE (M)
2012 2018 1
GE
- - - 0
- - - 0
- - - 0
GE (M)
2010 2018 1
GE

-unknown- (M) 2019 2019 1


-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

unknown (M) 2010 2018 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2019 2019 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2012 2019 1

-unknown- (M) 2013 2019 1

-unknown- (M) 2013 2019 1

TERUMO (M)
2012 2018 1
TERUMO
TERUMO (M)
2012 2018 1
TERUMO
TERUMO (M)
2012 2018 1
TERUMO
TERUMO (M)
2012 2018 1
TERUMO
TERUMO (M)
2012 2018 1
TERUMO
Omega (M)
2010 2018 1
OMEGA

-unknown- (M) 2007 2019 1

-unknown- (M) 2007 2019 1

-unknown- (M) 2008 2019 1

Omron (M)
2010 2018 1
OMRON

OMRON Compressor Nebulizer (M) 2007 2019 1


-unknown- (M) 2009 2019 1

-unknown- (M) 2010 2019 1

Nelcore (M)
2010 2018 1
NELCORE

-unknown- (M) 2007 2019 1

-unknown- (M) 2007 2019 1

-unknown- (M) 2007 2019 1

SSENI (M)
2010 2018 1
SSENI

-unknown- (M) 2007 2019 1

-unknown- (M) 2007 2019 1

-unknown- (M) 2007 2019 1

Terumo (M)
2012 2018 1
TERUMO
Terumo (M)
2012 2018 1
TERUMO
Terumo (M)
2012 2018 1
TERUMO
Terumo (M)
2012 2018 1
TERUMO
Terumo (M)
2012 2018 1
TERUMO
Raphael (M)
2012 2018 1
RAPHAEL
Raphael (M)
2012 2018 1
RAPHAEL
Event Medical (M)
2012 2018 1
RAPHAEL
Event Medical (M)
2012 2018 1
EVENT MEDICAL

RIESTER (M) 2012 2018 1

RIESTER Empire N - Stand Model (M) 2007 2019 1


-unknown- (M) 2007 2019 1

-unknown- (M) 2007 2019 1

- - -
- - -
- - -

- - -

- - -
- - -

- - -

- - -
- - -

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2010 2019 1


-unknown- (M) 2010 2019 1

-unknown- (M) 2015 2018 1

GE (M)
2009 2019 1
GE

-unknown- (M) 2017 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2012 2019 1

-unknown- (M) 2012 2019 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2012 2018 1

Devilbiss (M) 2014 2019 1

-unknown- (M) 2015 2018 1

RIESTER Stethoscope Duplex 2.0 Aluminium (M) 2015 2018 1

-unknown- (M) 2016 2018 1

RIESTER NOVA Sphygmomanometer (M) 2015 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2010 2018 1


-unknown- (M) 2006 2019 1

-unknown- (M) 2006 2019 1

-unknown- (M) 2006 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2006 2019 1

-unknown- (M) 2006 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

PARAMOUNT (M) 2012 2019 1

PARAMOUNT (M) 2012 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2019 1


-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2006 2019 1

MENNOX (M) 2006 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2006 2019 1

-unknown- (M) 2010 2019 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2012 2018 1

- - - 0

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2012 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2017 2018 1


-unknown- (M) 2017 2018 1

- - - 0

BISTOS (M) 2014 2019 1

LOTUS (M) 2006 2019 1

LOTUS (M) 2006 2019 1

- - - 0

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2014 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2018 2018 1

Mindray (M)
2014 2019 1
Mindray

-unknown- (M) 2010 2018 1


-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2016 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2017 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2015 2018 1

-unknown- (M) 2010 2018 1

-unknown- (M) 2015 2018 1

- - - 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -

- - -

- - -
- - -
- - -

619

88.94%
Item Penilaian JUMLAH %
STANDAR ALKES sesuai PPMK 56 thn 2014 696
TOTAL ASPAK di Aplikasi Bella 619 88.94%
SETELAH DI EDIT per 25 Juli 2019 563 80.89%
SEHARUSNY EDIT
A

1 1

1 0

1 1

1 1

1 1

1 0

1 1

1 0

1 1

1 1

1 1

1 0

1 1

1 0

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0

1 1
1 1

1 1

1 1

1 0

1 1

1 1

1 1

1 1

1 0

1 1

1 0

1 1

1 1

1 0

1 0

1 1

1 0

1 1

1 0

1 1

1 0

1 1
1 0

1 1

1 1

1 1

1 1

1 1

1 0
1 0

1 1

1 1

1 1

1 1

1 0

1 1

1 1

1 0

1 1

1 0

1 1

1 1

1 1

1 0

1 1
1 1

1 1

1 1

1 0

1 1

1 0

1 0
1 0
1 0
1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

Berfungsi Berfungsi

1 1

1 1

1 0

1 1

1 1

1 0

1 1
1 0

1 0

1 1

1 1

1 0

1 1

1 0

1 0

1 1

1 1

1 0

1 1

1 0

1 0

1 1

1 1

1 1

1 1

1 0

1 0

1 1
1 0

1 0

1 1

1 1

1 0

1 1

1 0

1 0

1 0

1 0

1 0

1 1

1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 0

1 1

1 0

1 0

1 1

1 1

1 1

1 1

Pindahkan dari NICU


1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 0

1 0

1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0

1 0

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0
1 1

1 1

1 1

1 0

1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 0

1 1

1 0

1 0

1 0

1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0

1 0

1 0

1 0

1 0

1 0

1 0

1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0
1 0
1 0

1 1

1 0
1 0

1 0

1 1

1 0

1 0

1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 0

1 1

1 1

1 1

1 0

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 0
696 563

80.89%
Tahun
Nama alat No. Seri - Type Merk - Distributor Berfungsi Kalibrasi Valid Keterangan
Pengadaan Operasioanal
Penunjang Medik RS
Instalasi Radiodiagnostik
Ruangan General X-ray (Ruang
Pemeriksaan/ Diagnostik)
S / N : 120611023 Carestream (M) Rp.350000000
CR(Computed radiography)/Cine or spot fluorographic x-ray camera 2012 2019 Baik Belum
Type: VITA TAWADA Healthcare Berfungsi
S / N : 150112RD 4, Rp.7000000
Emergency Trolley / Resuscitation Crash Cart -unknown- (M) 2011 2019 Baik Belum
Type: -unknown- Berfungsi
S / N : 1601218RD 4, Rp.30000000
Oxygen Concentrator / Portable Oxygen Generator. Nelcore (M) 2010 2019 Baik Belum
Type: -unknown- Berfungsi
S / N : 120611022 Carestream (M) 4, Rp.350000000
Printer Processing Film / Paper 2011 2019 Baik Belum
Type: VITA TAWADA Healthcare Berfungsi
S / N : 2008107 Sanghai Medical (M) 4, Rp.400000000
Pesawat Sinar-X, Stationer,Fixed Table x-ray system, general x-ray,Pesawat Rontgen 2008 2019 Baik Belum
Type: XD32-30-40 Srin Intan Perkasa Berfungsi
Ruangan Ultra Sonografi/ USG (Ruang
Pemeriksaan/ Diagnostik)
S / N : 988923sm1 G E (M) 4, Rp.200000000
USG 2D 2010 2018 Baik Belum
Type: Proseries GE Berfungsi
Ruangan Mobil X-Ray (Ruang
Pemeriksaan/ Diagnostik)
S / N : 079 MEDNIF (M) 4, Rp.100000000
Pesawat Sinar-X, Mobile 2011 2018 Baik Belum
Type: F100/XD4-2.9 Sri Intan Perkasa Berfungsi
S / N : 502.50.60H2 Mednif (M) Rp.100000000
Pesawat Sinar-X, Mobile 2009 2019 Baik Belum
Type: F50 Sri Intan Perkasa Berfungsi

Ruangan Dental X-Ray + Panoramic


(Ruang Pemeriksaan/ Diagnostik)

Pesawat Sinar-X, Dental Panoramic - - - - - - - -


S / N : 301018RAD-001 4, Rp.12500000
Pesawat Sinar-X, Dental -unknown- (M) 2012 2018 Baik Belum
Type: -unknown- berfungsi
Kamar Processing Film (digital ataupun
AFP Kering)
S / N : P-450XT Q-Med (M) 4, Rp.50000000
Automatic film processor 2017 2019 Baik Belum
Type: Film Peocessor Sri Intan Perkasa Berfungsi
S / N : 120611022 Carestream (M) 4, Rp.350000000
Printer Processing Film / Paper 2011 2019 Baik Belum
Type: Vita Tawada Healthcare Berfungsi
S / N : 120611022 Atlaim (M) 4, Rp.450000000
CR(Computed radiography)/Cine or spot fluorographic x-ray camera 2018 2019 Baik Belum
Type: ATAL-9C Sri Intan Perkasa Berfungsi
S / N : A411152G5C ATLAIM (M) 4, Rp.450000000
CR(Computed radiography)/Cine or spot fluorographic x-ray camera 2015 2019 Baik Belum
Type: ATAL-6C Sri Intan Perkasa Berfungsi
Instalasi Laboratorium
Ruangan Kimia Klinik (Ruang
Pemeriksaan)
S / N : 301018LAB01 3,
Electrolyte Analyzer -unknown- (M) 2014 2018 Baik Belum
Type: -unknown- BIOLITE
S / N : 301018LAB02
Flame emission photometer for clinical use/Fotometer flame emission -unknown- (M) 2010 2018 Baik Belum 4, Rp.70000000
Type: -unknown-
S / N : 301018LAB03 4, Rp.25000000
Ultra sentrifuse -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- PLC
S / N : 16012019100-LAB
Blood Gas Analyzer -unknown- (M) 2019 2019 Baik Belum 3, Rp.360000000
Type: -unknown-
Electrophoresis apparatus for clinical use/Elektroforesis - - - - - - - -
Ruangan Urin/Tinja (Ruang
Pemeriksaan)
S / N : 301018LAB04 4, Rp.100000000
Automated urinalysis system/urin analizer -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- URITEST
S / N : 301018LAB05 4, Rp.10000000
Microscopes and accessories/Mikroskop -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- OLYMPUS
Ruangan Hematologi (Ruang
Pemeriksaan)
S / N : 301018LAB07
Analisa Hb -unknown- (M) 2010 2018 Baik Belum 4, Rp.2000000
Type: -unknown-
S / N : 301018LAB07 3,
Automated hemoglobin system/hematology analizer -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- SYSMEC
S / N : 301018LAB-005 3,
Automated hemoglobin system/hematology analizer -unknown- (M) 2015 2018 Baik Belum
Automated hemoglobin system/hematology analizer -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- OLYMPUS
S / N : 301018LAB08 4, Rp.15000000
Microscopes and accessories/Mikroskop -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- OLYMPUS
S / N : 301018LAB09
LED -unknown- (M) 2010 2018 Baik Belum 4, Rp.30000000
Type: -unknown-
Agregometer - - - - - - - -
S / N : 301018LAB-002 4, Rp.25000000
Coagulation instrument/Peralatan koagulasi -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
Flame emission photometer for clinical use/Fotometer flame emission - - - - - - - -
Flow cytometri - - - - - - - -
Ruangan Imunologi (Ruang
Pemeriksaan)
EIA Sistem - - - - - - - -
Fluorometer for clinical use/Fluorometer - - - - - - - -
Imunologi analyzer - - - - - - - -
Isoelectric focusing system - - - - - - - -
Nefelometer - - - - - - - -
Ruangan Patologi Anatomi (Ruang
Pemeriksaan)
Alat pengukur (penggaris besi) - - - - - - - -
Alat pengukur berat (timbangan) > 1 Kg - - - - - - - -
Alat pengukur berat (timbangan) < 1 Kg - - - - - - - -
Electrophoresis apparatus for clinical use/Elektroforesis - - - - - - - -
Autoclave - - - - - - - -
Autoclave table top - - - - - - - -
Automatic tissue processing - - - - - - - -
Autopsi set - - - - - - - -
Cryostat - - - - - - - -
Cytocentrifuge/Sitosentrifus - - - - - - - -
Cyto spin - - - - - - - -
Embedding center - - - - - - - -
Five headed microscope - - - - - - - -
Fully motorize rotary microtome - - - - - - - -
Fume hood - - - - - - - -
Gunting Lurus, Ujung Tajam (Metzenbaum) (18 Cm) - - - - - - - -
Microbiological incubator - - - - - - - -
Laminary air flow - - - - - - - -
Lemari penyimpanan bahan-bahan FNAB - - - - - - - -
Liquid base cytology automatic / machine - - - - - - - -
Liquid base cytology manual - - - - - - - -
Lup/Kaca Pembesar - - - - - - - -
Manual microtome - - - - - - - -
Manual tissue processing - - - - - - - -
Blood storage refrigerator and blood storage freezer/refrigerator & freezer - - - - - - - -
Mesin standar automatic pulasan immunohistokimia - - - - - - - -
Micro balance - - - - - - - -
Microscopes and accessories/Mikroskop - - - - - - - -
Microscope binocular - - - - - - - -
Microscope double head - - - - - - - -
Microscope fluoresens - - - - - - - -
Microscope imunofluoresence - - - - - - - -
Mikrosentrifus - - - - - - - -
pH Meter - - - - - - - -
Scalp clip - - - - - - - -
Pipetting and diluting system for clinical use/Perangkat pipet - - - - - - - -
Pisau - - - - - - - -
Piston gun - - - - - - - -
Rak slide - - - - - - - -
Centrifugal chemistry analyzer for clinical use/centrifuge kimia klinik - - - - - - - -
Speculum and accessories - - - - - - - -
Stereomicroscope - - - - - - - -
Sterilisator kering/Dry-heat sterilizer - - - - - - - -
Timbangan / balance untuk media - - - - - - - -
Virtual microscope - - - - - - - -
Shaking waterbath - - - - - - - -
Work station / grossing station - - - - - - - -
Ruangan Biologi Molekuler (Ruang
Pemeriksaan)
Mesin Polymerase Chain Reaction (PCR) - - - - - - - -
Mesin pembaca produk PCR - - - - - - - -
Instalasi Rehabilitasi Medik
Ruangan Diagnostik Dokter
S / N : 301018RM01
Meja Periksa / Tempat tidur periksa / Examination Table -unknown- (M) 2010 2018 Baik Belum 4, Rp.1500000
Type: -unknown-
S / N : 301018RM02
Examination light / Examination lamp / Lampu periksa / Hanging lamp -unknown- (M) 2010 2018 Baik Belum 4, Rp.1100000
Type: -unknown-
S / N : 301018RM03
Cognitive Evaluation and Treatment -unknown- (M) 2010 2018 Baik Belum 4, Rp.3500000
Type: -unknown-
S / N : 301018RM04
Goniometer -unknown- (M) 2010 2018 Baik Belum 4, Rp.100000
Type: -unknown-
S / N : 301018RM05
Nebulizer jet -unknown- (M) 2010 2018 Baik Belum 4, Rp.2000000
Type: -unknown-
S / N : 301018RM06
Oximeter / pulse oximeter / Oksigen Saturasi -unknown- (M) 2010 2018 Baik Belum 4, Rp.350000
Type: -unknown-
S / N : 301018RM07
Peak-flow meter for spirometry -unknown- (M) 2010 2018 Baik Belum 4, Rp.400000
Type: -unknown-
S / N : 301018RM08
Spirometer/Diagnostic Spirometer -unknown- (M) 2010 2018 Baik Belum 4, Rp.9000000
Type: -unknown-
S / N : 301018RM09
Tensimeter -unknown- (M) 2010 2018 Baik Belum 4, Rp.1750000
Type: -unknown-
S / N : 301018RM10
Stetoskop/Stetoskop Dewasa -unknown- (M) 2010 2018 Baik Belum 4, Rp.950000
Type: -unknown-
S / N : 301018RM11
Ultrasonography Muskuloskeletal -unknown- (M) 2017 2018 Baik Belum 4, Rp.45000000
Type: -unknown-
S / N : 16012019102-FT
Handheld Dynamometer -unknown- (M) 2019 2019 Baik Belum 4, Rp.400000
Type: -unknown-
S / N : 16012019103-F T
Handgrip Streght Dynamometer -unknown- (M) 2019 2019 Baik Belum 4, Rp.265000
Type: -unknown-
S / N : 16012019104 - FT
Nebulizer ultrasound -unknown- (M) 2019 2019 Baik Belum 4, Rp.650000
Type: -unknown-
Biotrigger Computerize Analizer - - - - - - - -
Electromyograph - - - - - - - -
Inclinometer - - - - - - - -
Isokinetic Dynamometer - - - - - - - -
Mobility Analyzer - - - - - - - -
Plantar Pressure Analysis - - - - - - - -
Posture Analyzer - - - - - - - -
Seating & Positioning Analysis - - - - - - - -
Urodynamic - - - - - - - -
Voice Analyzer - - - - - - - -
Ruangan Terapi Psikologi
S / N : 2007FIS009
Peralatan Konsultasi dan Terapi -unknown- (M) 2008 2019 Baik Belum 4, Rp.5000000
Type: -unknown-
Peralatan Organis - - - - - - - -
Ruangan Fisioterapi Pasif
S / N : 301018RM13
kruk/penopang/Crutch -unknown- (M) 2010 2018 Baik Belum 4, Rp.760000
Type: -unknown-
S / N : 301018RM14
Faradic - Galvanic therapy -unknown- (M) 2016 2018 Baik Belum 4, Rp.75000000
Type: -unknown-
S / N : 301018RM15 4, Rp.7500000
Lampu infra merah -unknown- (M) 2010 2018 Baik Belum
Type: -unknown- XINPENG
S / N : 301018RM16
Parallel bars -unknown- (M) 2016 2018 Baik Belum 4, Rp.10000000
Type: -unknown-
S / N : 301018RM17
Microwave diathermy -unknown- (M) 2016 2018 Baik Belum 4, Rp.110000000
Type: -unknown-
S / N : 301018RM18
Stair-Climbing Walker -unknown- (M) 2016 2018 Baik Belum 4, Rp.15000000
Type: -unknown-
S / N : 301018RM19
Shortwave diathermy. -unknown- (M) 2016 2018 Baik Belum Rp.75000000
Type: -unknown-
S / N : 301018RM20
Ultrasound theraphy -unknown- (M) 2016 2018 Baik Belum 4, Rp.45000000
Type: -unknown-
Acupunture therapy - - - - - - - -
Ankle / wrist - - - - - - - -
Bath whirl pool - - - - - - - -
Biotrigger Computerize Analizer - - - - - - - -
S / N : 02012019100-FT
Cane, crutch, and walker tips and pads unknown (M) 2012 2019 Baik Belum 4, Rp.1000000
Type: -unknown-
Compression therapy - - - - - - - -
S / N : 301018FIS-001 3,
Electro stimulation & analgesia -unknown- (M) 2016 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 16012019100-FT
Ergocycle -unknown- (M) 2019 2019 Baik Belum 4, Rp.2850000
Type: -unknown-
S / N : 301018FIS-002 4, Rp.1200000
Meja Periksa / Tempat tidur periksa / Examination Table -unknown- (M) 2014 2018 Baik Belum
Type: -unknown- berfungsi
S / N : 1401201902FT
Exercise bicycle -unknown- (M) 2019 2019 Baik Belum 4, Rp.2000000
Type: -unknown-
Powered exercise equipment - - - - - - - -
S / N : 14012019003-FT
Finger muscle therapy -unknown- (M) 2019 2019 Baik Belum 4, Rp.100000
Type: -unknown-
Hidro therapy - - - - - - - -
Hotpacks & perculator - - - - - - - -
Isostation for accurate - - - - - - - -
Laser therapy - - - - - - - -
S / N : 301018FIS-003 4, Rp.25000000
LF electro therapy -unknown- (M) 2016 2018 Baik Belum
Type: -unknown- berfungsi
Lymphatic physiotherapy - - - - - - - -
S / N : 1401201901FT
Parafin Bath -unknown- (M) 2019 2019 Baik Belum 4, Rp.3000000
Type: -unknown-
S / N : 301018RM18
Platform Walker -unknown- (M) 2016 2019 Baik Belum 4, Rp.15000000
Type: -unknown-
Pulse erator unit - - - - - - - -
S / N : 17012019106-FT
Reciprocal Walker -unknown- (M) 2019 2019 Baik Belum 4, Rp.367200
Type: -unknown-
S / N : 17012019107 -FT
Reverse Walker -unknown- (M) 2019 2019 Baik Belum 4, Rp.400000
Type: -unknown-
S / N : 16012019105-FT
Rolling Triceps Walker -unknown- (M) 2019 2019 Baik Belum 4, Rp.1050000
Type: -unknown-
Rolling/Gliding Walker - - - - - - - -
Rowing machine - - - - - - - -
S / N : 16012019101-FT
Standar Walker -unknown- (M) 2019 2019 Baik Belum 4, Rp.745000
Type: -unknown-
Suspension & pulley equipment - - - - - - - -
Therapeutic Position and Equipment Set - - - - - - - -
Therapeutical nerve & muscle stimulation - - - - - - - -
Tilt table - - - - - - - -
S / N : 14012019004FT
Traction Unit -unknown- (M) 2019 2019 Baik Belum 4, Rp.35000000
Type: -unknown-
S / N : 301018FIS-005 4, Rp.4500000
Treadmill -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
Ultraviolet quartz - - - - - - - -
Kursi roda elektrik/Powered wheelchair - - - - - - - -
S / N : 301018FIS-006 4, Rp.1500000
Kursi roda -unknown- (M) 2015 2018 Baik Belum
Type: -unknown- berfungsi
Instalasi Pemulasaraan Jenazah
Ruangan Dekontaminasi dan
Pemulasaraan Jenazah
Preparation table - - - - - - - -
Body Bags - - - - - - - -
Ruangan Pendingin Jenazah
Refrigerated Mortuary Cabinet - - - - - - - -

Penunjang Non Medik RS

Instalasi Sanitasi
Ruang Kerja dan Arsip
S / N : IPSRS010 4, Rp.4000000
Laptop ASUS (M) 2018 2018 Baik Belum
Type: -unknown- Baik
Area Pengolahan Air Limbah
S / N : IPSRS011 ENVIRO-X Wrap Around Apron (M) 4, Rp.50000000
IPAL 2004 2018 Baik Belum
IPAL 2004 2018 Baik Belum
Type: -unknown- ENVIRO BERFUNGSI
Area Pengelolaan Limbah Padat
S / N : IPSRS013 4, Rp.1000000
Timbangan kg -unknown- (M) 2008 2018 Baik Belum
Type: -unknown- Baik
Area TPS
S / N : IPSRS012 -unknown- (M) 4, Rp.500000
Tabung Pemadam Api 2008 2018 Baik Belum
Type: -unknown- damkar Berfungsi
KM/WC Petugas
S / N : IPSRS014 4, Rp.100000
General purpose disinfectants -unknown- (M) 2008 2018 Baik Belum
Type: -unknown- Baik
Instalasi Dapur Utama dan Gizi Klinik
Ruangan Kepala Instalasi Gizi
S / N : IPSRS 4, Rp.3000000
Komputer dan Printer -unknown- (M) 2008 2018 Baik Belum
Type: -unknown- BAIK
Instalasi Pemeliharaan Sarana (Workshop)
Ruangan Kepala IPSRS
S / N : IPSRS001 4, Rp.5000000
Komputer dan Printer -unknown- (M) 2018 2018 Baik Belum
Type: -unknown- Baik
Ruangan Administrasi (Pencatatan)
dan Ruang Kerja Staf
S / N : IPSRS015 4, Rp.2000000
Komputer dan Printer -unknown- (M) 2008 2018 Baik Belum
Type: -unknown- Baik
Instalasi Sterilisasi Pusat / CSSD
Gudang Steril
S / N : 2012ok04 4, Rp.1200000
Lemari Steril -unknown- (M) 2004 2019 Baik Belum
Type: -unknown- Berfungsi
Ruangan Penerimaan Linen Bersih
Siap Sterilisasi
S / N : 0504ok08 4, Rp.1000000
Trolley barang kotor -unknown- (M) 2008 2019 Baik Belum
Type: -unknown- Berfungsi
Survey Pertanyaan R
INSTRUMEN MONEV PENGELOLAAN PER

No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
Survey Pertanyaan RSU R
INSTRUMEN MONEV PENGELOLAAN PERALA

Pertanyaan
Apakah Rumah Sakit Saudara memiliki bagian/unit pengelolaan fasilitas kesehatan ( IPS-RS)? Ad
Apakah ada sub-bagian/unit/divisi pengelolaan peralatan kesehatan yang bertanggungjawab dalam
Jika ada, apakah bagian/sub-bagian/unit/divisi tersebut sudah dituangkan dalam struktur organisas
Apakah bagian/sub-bagian/unit/divisi tersebut memiliki uraian tugas? Ada
Apakah uraian tugas pengelola pemeliharaan peralatan kesehatan sudah ditetapkan dengan SK D
Apakah bagian/sub-bagian/unit/divisi tersebut sudah berfungsi optimal? Ada
Apakah RS Saudara memiliki petugas yang secara khusus bertanggung jawab dalam pengelola p
Apakah ada pembagian petugas pengelola peralatan kesehatan ? Tdk
Apakah petugas pengelola peralatan kesehatan memiliki kemampuan yang memadai? Ada
Apakah petugas pengelola peralatan kesehatan telah mengikuti pelatihan pemeliharaan peralatan
Apakah tersedia kebijakan pengelolaan peralatan kesehatan di rumah sakit? Ada
Jika ya, apakah memiliki alur kerja penerimaan peralatan medis baru ? Ada
Apakah memiliki alur kerja pemeliharaan peralatan medis ? Ada
Apakah memiliki alur kerja kajian penghapusan peralatan medis ? Ada
Apakah memiliki alur kerja penarikan kembali (recall) peralatan medis yang tidak layak? Ada
Apakah peralatan medis memiliki kartu pemeliharaan ? Ada
Jika ya, apakah kurang dari 50% dari jumlah alat medis memiliki kartu pemeliharaan ? Tdk
Jika ya, apakah lebih dari 50% dari jumlah alat medis memiliki kartu pemeliharaan ? Ada
Apakah peralatan medis memiliki buku petunjuk pengoperasian ? Ada
Jika ya, apakah kurang dari 50% dari jumlah jenis alat medis memiliki buku petunjuk pengoperasia
Jika ya, apakah lebih dari 50% dari jumlah alat medis memiliki buku petunjuk pengoperasian ? Ada
Apakah peralatan medis memiliki buku petunjuk pemeliharaan ? Ada
Jika ya, apakah kurang dari 50% dari jumlah jenis alat medis memiliki operating manual book ? -
Jika ya, apakah lebih dari 50% dari jumlah alat medis memiliki operating manual book ? Ada
Apakah peralatan medis memiliki prosedur tetap pengoperasian (Standar Operating Prosedur) ? A
Jika ya, apakah kurang dari 50% dari jumlah alat medis memiliki prosedur tetap pengoperasian (S
Jika ya, apakah lebih dari 50% dari jumlah alat medis memiliki prosedur tetap pengoperasian (Stan
Apakah prosedur tetap pengoperasian (Standar Operating Prosedur) yang dimiliki disahkan oleh d
Apakah prosedur tetap pengoperasian (Standar Operating Prosedur) tersebut sudah digunakan se
Apakah peralatan medis memiliki prosedur tetap pemeliharaan (Standard Maintenance Procedure
Jika ya, apakah kurang dari 50% dari jumlah alat medis memiliki prosedur tetap pemeliharaan (Sta
Jika ya, apakah lebih dari 50% dari jumlah alat medis memiliki prosedur tetap pemeliharaan (Stand
Apakah prosedur tetap pemeliharaan (Standar Maintenance Prosedur) yang dimiliki disahkan oleh
Apakah prosedur tetap pemeliharaan (Standar Maintenance Prosedur) tersebut sudah digunakan
Apakah ada perencanaan program pemeliharaan? Ada
Apakah ada jadwal pemeliharaan ? Ada
Apakah ada perencanaan pengadaan suku cadang dan bahan pemeliharaan? Ada
Apakah petugas pengelola peralatan kesehatan dilibatkan dalam perencanaan pengadaan alat ke
Apakah tersedia biaya pemeliharaan peralatan kesehatan ? Ada
Apakah biaya pemeliharaan mencukupi? Ada
Apakah RS Saudara memiliki ruangan/gudang penyimpanan alat dan suku cadang pemeliharaan p
Apakah IPSRS memiliki ruang kerja yang memadai? Ada
Apakah IPSRS memiliki workshop/bengkel pengelola peralatan kesehatan? Ada
Jika ada, apakah workshop/bengkel pengelola peralatan kesehatan mencukupi ? Ada

Apakah prasarana workshop/bengkel pengelola peralatan kesehatan mencukupi? Ada


Apakah peralatan kerja yang memadai? Ada
Apakah suku cadang dan bahan pemeliharaan mencukupi ? Ada
Apakah RS Saudara memiliki kartu inventaris peralatan kesehatan Ada
Apakah daftar inventaris tersebut lengkap? Ada
Apakah IPSRS memiliki gudang penyimpanan peralatan kesehatan Ada
Jika ada, apakah dilakukan pemisahan penyimpanan peralatan baru dengan peralatan bekas/rusa
Apakah gudang penyimpanan memiliki kartu inventaris barang ? Ada
Apakah gudang penyimpanan peralatan kesehatan memiliki pengamanan pengelolaan memadai ?
Apakah memiliki prosedur tetap (protap) barang masuk dan barang keluar ? Ada
Jika ya, apakah pelaksanaan uji penerimaan (uji fungsi dan uji coba) disaksikan oleh teknisi dan o
Apakah uji penerimaan (uji fungsi dan uji coba) sudah digunakan sebagai acuan penerbitan BA pe
Apakah setiap penerimaan alat baru dilakukan pelatihan untuk operator ? Ada
Apakah setiap penerimaan alat baru dilakukan pelatihan untuk teknisi ? Ada
Jika ya, apakah pengujian/kalibrasi internal kurang dari 50% dari jumlah alat kesehatan ? Tdk
Apakah pengujian/kalibrasi internal dilakukan oleh tenaga bersertifikat ? Ada
Apakah pengujian/kalibrasi dilakukan oleh BPFK/Institusi Penguji ? Ada
Jika ya, apakah pengujian/kalibrasi kurang dari 50% dari jumlah alat kesehatan? Tdk
Apakah pengujian/kalibrasi lebih dari 50% dari jumlah alat kesehatan ? Ada
Apakah pengujian/kalibrasi dilakukan oleh tenaga bersertifikat ? Ada
Apakah alat yang wajib kalibrasi dilakukan kalibrasi rutin/setiap tahun ? Ada
Apakah tersedia jadwal pelaksanaan kalibrasi alat kesehatan ? Ada
Apakah rumah sakit menyediakan anggaran/biaya yang cukup/memadai untuk kalibrasi alat keseh
Apakah lebih dari 50% alat kesehatan wajib kalibrasi yang ada di RS Saudara memiliki sertifikat ka
Apakah seluruh peralatan radiodiagnostik, radioterapi dan kedokteran nuklir memiliki sertifikat peri
Apakah pernah terjadi kegagalan alat yang mengakibatkan luka serius/kematian pada pasien / pet
Apakah lebih dari 50% peralatan memenuhi usia pakai (lifetime) ? Ada
Apakah tingkat kerusakan alat kurang dari 30%? Ada
Apakah setiap pelaksanaan kegiatan pengelolaan alat kesehatan dilaksanakan pencatatan? Ada
Apakah kegiatan pelaksanaan kegiatan pengelolaan alat kesehatan ada laporannya? Ada
Jawaban
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Tdk
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Tdk
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Tdk
Ada
Ada
Tdk
Ada
Ada
Ada
Ada
Ada
Ada
Ada
Tdk
Ada
Ada
Ada
Ada
SELF ASESMEN SKORING VISITASI RS KELAS C
RS BELLA

NO ITEM PENILIAIAN BOBOT SKOR Bobot x Skor


Persyaratan tata bangunan Rumah Sakit :
a. Peruntukan lokasi dan intensitas bangunan sesuai ketentuan peraturan daerah setempat. 5 2 10
b. Desain Bagunan RS yang meliputi :

1) Bentuk denah bangunan Rumah Sakit simetris dan sederhana untuk mengantisipasi kerusakan apabila terjadi gempa.
1 2 2

2) Masa bangunan harus mempertimbangkan sirkulasi udara dan pencahayaan. 3 2 6


3) Tata letak bangunan-bangunan (siteplan) dan tata ruang dalam bangunan harus mempertimbangkan zonasi berdasarkan tingkat resiko penularan
1 penyakit, zonasi berdasarkan privasi, dan zonasi berdasarkan kedekatan hubungan fungsi antar ruang pelayanan. 3 2 6
4) Tinggi rendah bangunan harus dibuat tetap menjaga keserasian lingkungan dan peil banjir. 3 0
5) Aksesibilitas di luar dan di dalam bangunan harus mempertimbangkan kemudahan bagi semua orang termasuk penyandang cacat dan lansia. 1 0
6) Bangunan Rumah Sakit harus menyediakan area parkir kendaraan dengan jumlah area yang proporsional disesuaikan dengan peraturan daerah
setempat. 3 0
7) Perancangan pemanfaatan tata ruang dalam bangunan harus efektif sesuai dengan fungsi-fungsi pelayanan. 5 0
c. Pengendalian dampak lingkungan sesuai dengan ketentuan peraturan perundang-undangan. 5 0

Persyaratan keandalan bangunan dan prasarana Rumah Sakit sebagaimana dimaksud pada ayat (2) meliputi :
a. Persyaratan keselamatan struktur bangunan, kemampuan bangunan menanggulangi bahaya kebakaran, bahaya petir, bahaya kelistrikan, persyaratan 5 0
instalasi gas medik, instalasi uap dan instalasi bahan bakar gas.

2
b. Persyaratan sistem ventilasi, pencahayaan, instalasi air, instalasi pengolahan limbah, dan bahan bangunan. 5 0
c. Persyaratan kenyamanan ruang gerak dan hubungan antar ruang, kenyamanan termal, kenyamanan terhadap tingkat getaran dan kebisingan. 1 0
d. Persyaratan tanda arah (signage), koridor, tangga, ram, lift, toilet dan sarana evakuasi yang aman bagi semua orang termasuk penyandang cacat dan
lansia. 5 0

Pelayanan yang diberikan oleh Rumah Sakit Umum kelas C paling sedikit meliputi:
a. Pelayanan medik paling sedikit terdiri dari; 5 2 10
1) Pelayanan gawat darurat, harus diselenggarakan 24 (dua puluh empat) jam sehari secara terus menerus.
2) Pelayanan medik umum, meliputi pelayanan medik dasar, medik gigi mulut, kesehatan ibu dan anak, dan keluarga berencana 5 2 10
3) Pelayanan medik spesialis dasar, meliputi pelayanan penyakit dalam, kesehatan anak, bedah, dan obstetri dan ginekologi 5 2 10
4) Pelayanan medik spesialis penunjang, meliputi pelayanan anestesiologi, radiologi, dan patologi klinik 5 0
5) Pelayanan medik spesialis gigi dan mulut, paling sedikit berjumlah 1 (satu) pelayanan 5 2 10
b. Pelayanan kefarmasian meliputi pengelolaan sediaan farmasi, alat kesehatan dan bahan medis habis pakai, dan pelayanan farmasi klinik. 5 0
c. Pelayanan keperawatan dan kebidanan meliputi asuhan keperawatan dan asuhan kebidanan. 5 2 10
3 d. Pelayanan penunjang klinik meliputi pelayanan bank darah, perawatan intensif untuk semua golongan umur dan jenis penyakit, gizi, sterilisasi instrumen
dan rekam medik 5 0

e. Pelayanan penunjang nonklinik meliputi pelayanan laundry/linen, jasa boga/dapur, teknik dan pemeliharaan fasilitas, pengelolaan limbah, gudang,
ambulans, sistem informasi dan komunikasi, pemulasaraan jenazah, sistem penanggulangan kebakaran, pengelolaan gas medik, dan pengelolaan air bersih. 5 0

f. Pelayanan rawat inap harus dilengkapi dengan fasilitas sebagai berikut:

1) jumlah tempat tidur perawatan kelas III paling sedikit 30% (tiga puluh persen) dari seluruh tempat tidur untuk Rumah Sakit milik Pemerintah;
5 0
2) jumlah tempat tidur perawatan kelas III paling sedikit 20% (dua puluh persen) dari seluruh tempat tidur untuk Rumah Sakit milik swasta;
3) jumlah tempat tidur perawatan intensif sebanyak 5% (lima persen) dari seluruh tempat tidur untuk Rumah Sakit milik Pemerintah dan Rumah Sakit
milik swasta. 3 0

Sumber daya manusia Rumah Sakit Umum kelas C terdiri atas:


a. Tenaga medis paling sedikit terdiri atas: 3 0
1) 9 (sembilan) dokter umum untuk pelayanan medik dasar;
2) 2 (dua) dokter gigi umum untuk pelayanan medik gigi mulut; 3 0
3) 2 (dua) dokter spesialis untuk setiap jenis pelayanan medik spesialis dasar; 5 0
4) 1 (satu) dokter spesialis untuk setiap jenis pelayanan medik spesialis penunjang; dan 3 2 6
5) 1 (satu) dokter gigi spesialis untuk setiap jenis pelayanan medik spesialis gigi mulut. 3 2 6
b. Tenaga kefarmasian paling sedikit terdiri atas:
4 1) 1 (satu) orang apoteker sebagai kepala instalasi farmasi Rumah Sakit;
3 0
2) 2 (dua) apoteker yang bertugas di rawat inap yang dibantu oleh paling sedikit 4 (empat) orang tenaga teknis kefarmasian; 1 0
3) 4 (empat) orang apoteker di rawat inap yang dibantu oleh paling sedikit 8 (delapan) orang tenaga teknis kefarmasian; 1 0
4) 1 (satu) orang apoteker sebagai koordinator penerimaan, distribusi dan produksi yang dapat merangkap melakukan pelayanan farmasi klinik di rawat
inap atau rawat jalan dan dibantu oleh tenaga teknis kefarmasian yang jumlahnya disesuaikan dengan beban kerja pelayanan kefarmasian Rumah Sakit. 1 2 2

c. Jumlah kebutuhan tenaga keperawatan dihitung dengan perbandingan 2 (dua) perawat untuk 3 (tiga) tempat tidur.Kualifikasi dan kompetensi tenaga
keperawatan disesuaikan dengan kebutuhan pelayanan Rumah Sakit. 5 2 10
d. Jumlah dan kualifikasi tenaga kesehatan lain dan tenaga nonkesehatan disesuaikan dengan kebutuhan pelayanan Rumah Sakit. 5 0

Peralatan Rumah Sakit Umum kelas C harus memenuhi standar sesuai dengan ketentuan peraturan perundang-undangan.
a) PELAYANAN GAWAT DARURAT 5 0
b) PELAYANAN PENYAKIT DALAM 5 0
c) PELAYANAN BEDAH 5 0
d) PELAYANAN KESEHATAN ANAK 5 0
e) PELAYANAN OBSTETRI DAN GINEKOLOGI 5 0
f) PELAYANAN ANESTESIOLOGI DAN TERAPI INTENSIF 5 0
5
NO ITEM PENILIAIAN BOBOT SKOR Bobot x Skor
5
g) PELAYANAN MIKROBIOLOGI 3 0
h) PELAYANAN PATOLOGI ANATOMI 3 0
i) PELAYANAN PATOLOGI KLINIK 5 0
j) PELAYANAN RADIOLOGI 5 0
k) PELAYANAN REHABILITASI MEDIK 5 0
l) PEMULASARAAN JENAZAH 3 0
m) INSTALASI GIZI 5 0

Catatan : ada lengkap (80 - 100 %) : skor 2


ada sebagian (20 - 79 %) : skor 1
Tidak ada (0 - 19 %) : skor 0

Kelengkapan peralatan sesuai daftar peralatan dalam lampiran PMK 56 tahun 2014

Skor maksimal : 362


Batas lolos : 290 98

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